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1629755012
DEREK J SMITH
TULSA, OK
NPI
1629755012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 0064110)
Enumeration Date
2023-06-28
Last Update Date
2023-06-28
Business Address
Mr. DEREK J SMITH
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 539-593-1299
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Mailing Address
Mr. DEREK J SMITH
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 539-593-1299
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