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1427503911
GLADYS IVETH SANTISTEBAN
TULSA, OK
NPI
1427503911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2016-08-24
Last Update Date
2016-08-24
Business Address
-- GLADYS IVETH SANTISTEBAN
11740 E 21ST ST
TULSA, OK 74129-1820
Phone number: 918-437-9495
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Mailing Address
-- GLADYS IVETH SANTISTEBAN
650 S PEORIA AVE
TULSA, OK 74120-4429
Phone number: 918-587-9471
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