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1538818000
HALEIGH BROOKE WISOTSKY
TULSA, OK
NPI
1538818000
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Former Name
HALEIGH BROOKE JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 207213)
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
Mrs. HALEIGH BROOKE WISOTSKY APRN, FNP-C
9716 RIVERSIDE PKWY
TULSA, OK 74137-7447
Phone number: 918-528-4897
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Mailing Address
Mrs. HALEIGH BROOKE WISOTSKY APRN, FNP-C
738 W 97TH ST S
JENKS, OK 74037-3406
Phone number: 918-809-3514
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