MIRANDA LEIGH BALEZENTIS

TULSA, OK
NPI1619439510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OK  18304)
Enumeration Date2019-04-01
Last Update Date2019-04-01
Business Address
MIRANDA LEIGH BALEZENTIS
2115 S MEMORIAL DR
TULSA, OK 74129-2611
Phone number: 918-622-5184
Mailing Address
MIRANDA LEIGH BALEZENTIS
1635 S 89TH EAST AVE
TULSA, OK 74112-8251
Phone number: 918-645-7183