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1740788595
CHANCE LEROY PHILLIPS
TULSA, OK
NPI
1740788595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 115935)
Enumeration Date
2018-01-26
Last Update Date
2021-05-18
Business Address
CHANCE LEROY PHILLIPS NP-C
4564 S HARVARD AVE STE B
TULSA, OK 74135-2918
Phone number: 918-508-2220
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Mailing Address
CHANCE LEROY PHILLIPS NP-C
2706 E 39TH PL
TULSA, OK 74105-8209
Phone number: 806-886-0062
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