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1538885538
EDEM DJALLA
TULSA, OK
NPI
1538885538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OK 210491)
Enumeration Date
2022-10-12
Last Update Date
2022-10-12
Business Address
EDEM DJALLA CRNA
1120 S UTICA AVE
TULSA, OK 74104-4012
Phone number: 918-579-1000
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Mailing Address
EDEM DJALLA CRNA
PO BOX 207529
DALLAS, TX 75320-7529
Phone number: 888-383-7028
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