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1598233298
LACY G REYNOLDS
TULSA, OK
NPI
1598233298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK 88134)
Enumeration Date
2018-11-12
Last Update Date
2018-11-12
Business Address
LACY G REYNOLDS APRN
1120 S UTICA AVE
TULSA, OK 74104-4012
Phone number: 918-579-1000
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Mailing Address
LACY G REYNOLDS APRN
821 W WACO ST
BROKEN ARROW, OK 74011-2818
Phone number:
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