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1568964104
TARA LEA OKULLO
KATY, TX
NPI
1568964104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: TX AP136830)
Enumeration Date
2018-02-28
Last Update Date
2024-06-11
Business Address
TARA LEA OKULLO AGNP-C
24285 KATY FWY STE 300
KATY, TX 77494-1128
Phone number: 346-387-7171
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Mailing Address
TARA LEA OKULLO AGNP-C
24285 KATY FWY STE 300
KATY, TX 77494-1128
Phone number: 346-387-7171
Copy
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