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1427582774
DIMITRI KOULAKOV
TULSA, OK
NPI
1427582774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OK 009633B)
Enumeration Date
2017-04-13
Last Update Date
2017-04-13
Business Address
-- DIMITRI KOULAKOV
1055 S HOUSTON AVE
TULSA, OK 74127-9043
Phone number: 918-921-3299
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Mailing Address
-- DIMITRI KOULAKOV
650 S PEORIA AVE
TULSA, OK 74120-4429
Phone number: 918-560-1399
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