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1306369087
SANDRA RENEE DIETZ
TULSA, OK
NPI
1306369087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 125253)
Enumeration Date
2017-07-25
Last Update Date
2023-10-30
Business Address
SANDRA RENEE DIETZ APRN-CNP
9716 RIVERSIDE PKWY
TULSA, OK 74137-7447
Phone number: 918-528-4897
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Mailing Address
SANDRA RENEE DIETZ APRN-CNP
6120 E 75TH ST
TULSA, OK 74136-6917
Phone number: 479-858-2511
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