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1295404994
DEANDRA LYNETTE ANTWINE
TULSA, OK
NPI
1295404994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 200784)
Enumeration Date
2021-09-07
Last Update Date
2024-11-19
Business Address
Mrs. DEANDRA LYNETTE ANTWINE APRN-CNP
591 E 36TH ST N
TULSA, OK 74106-1812
Phone number: 918-619-4400
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Mailing Address
Mrs. DEANDRA LYNETTE ANTWINE APRN-CNP
6725 S QUINCY AVE
TULSA, OK 74136-3803
Phone number: 918-510-8266
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