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1396418679
KRISTIN TIDWELL
SAPULPA, OK
NPI
1396418679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK R0111034)
Enumeration Date
2021-07-31
Last Update Date
2021-07-31
Business Address
KRISTIN TIDWELL APRN, FNP-C
1008 W TAFT AVE
SAPULPA, OK 74066-8720
Phone number: 918-347-8090
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Mailing Address
KRISTIN TIDWELL APRN, FNP-C
10488 S 86TH EAST AVE
TULSA, OK 74133-7084
Phone number:
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