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1346904612
AUDREY JANE WISE
TULSA, OK
NPI
1346904612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-10-23
Last Update Date
2021-10-23
Business Address
AUDREY JANE WISE
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-629-0141
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Mailing Address
AUDREY JANE WISE
9521 RIVERSIDE PKWY SUITE B #178
TULSA, OK 74137
Phone number: 918-629-0141
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