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1780358572
PETRA RUSSELL
TULSA, OK
NPI
1780358572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2021-08-04
Last Update Date
2021-08-04
Business Address
PETRA RUSSELL
4867 S SHERIDAN RD STE 712A
TULSA, OK 74145-5721
Phone number: 918-205-3013
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Mailing Address
PETRA RUSSELL
1264 E 139TH PL
GLENPOOL, OK 74033-3125
Phone number: 918-671-0843
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