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1316719305
AMIAYA FORTENBERRY
TULSA, OK
NPI
1316719305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 207739)
Enumeration Date
2023-10-24
Last Update Date
2023-10-24
Business Address
AMIAYA FORTENBERRY LPN
5550 S GARNETT RD STE 200
TULSA, OK 74146-6830
Phone number: 918-665-2501
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Mailing Address
AMIAYA FORTENBERRY LPN
5550 S GARNETT RD STE 200
TULSA, OK 74146-6830
Phone number: 918-665-2501
Copy
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