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1396382883
KALEB REDICK
TULSA, OK
NPI
1396382883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 113244)
Enumeration Date
2019-12-04
Last Update Date
2019-12-04
Business Address
KALEB REDICK RN, BSN FNP
1620 E 12TH ST
TULSA, OK 74120-5407
Phone number: 918-582-2131
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Mailing Address
KALEB REDICK RN, BSN FNP
1201 COVELL VILLAGE DR APT 330
EDMOND, OK 73003-9720
Phone number: 405-613-0502
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