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1558903369
NICOLE COBURN
TULSA, OK
NPI
1558903369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 3176)
Enumeration Date
2019-10-14
Last Update Date
2020-04-03
Business Address
NICOLE COBURN
1923 S UTICA AVE
TULSA, OK 74104-6520
Phone number: 918-748-7591
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Mailing Address
NICOLE COBURN
1923 S UTICA AVE
TULSA, OK 74104-6520
Phone number: 918-748-7591
Copy
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