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1326778457
AUSTIN MICHAEL GLENVILLE
TULSA, OK
NPI
1326778457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OK 107491)
Enumeration Date
2022-06-13
Last Update Date
2022-06-13
Business Address
AUSTIN MICHAEL GLENVILLE CRNA
8801 S 101ST EAST AVE
TULSA, OK 74133-5716
Phone number: 918-294-4000
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Mailing Address
AUSTIN MICHAEL GLENVILLE CRNA
2029 E 133RD PL S
BIXBY, OK 74008-1080
Phone number:
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