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1407416522
TERICKA SMALL
OKLAHOMA CITY, OK
NPI
1407416522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: OK AG08180037)
Enumeration Date
2019-06-20
Last Update Date
2019-06-20
Business Address
TERICKA SMALL NP-C
5200 E I 240 SERVICE RD
OKLAHOMA CITY, OK 73135-2610
Phone number: 580-284-5255
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Mailing Address
TERICKA SMALL NP-C
11501 N ANN ARBOR AVE
OKLAHOMA CITY, OK 73162-3735
Phone number: 580-284-5255
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