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1467990820
LEE MATLOCK
TULSA, OK
NPI
1467990820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 109425)
Enumeration Date
2017-02-06
Last Update Date
2022-04-18
Business Address
Mr. LEE MATLOCK APRN
6160 S YALE AVE
TULSA, OK 74136-1930
Phone number: 918-495-2685
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Mailing Address
Mr. LEE MATLOCK APRN
6600 S YALE AVE STE 1200
TULSA, OK 74136-3361
Phone number: 918-488-6653
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