BRICE SWIMMER LUESSENHOP

TULSA, OK
NPI1770478620
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-06-11
Last Update Date2025-06-11
Business Address
BRICE SWIMMER LUESSENHOP
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number: 918-906-9918
Mailing Address
BRICE SWIMMER LUESSENHOP
9737 S URBANA AVE
TULSA, OK 74137-4816
Phone number: 918-906-9918