AUTUMN RENAE ACKERMAN

TULSA, OK
NPI1780635748
Former NameAUTUMN RENAE MILLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OK  1529)
Enumeration Date2006-05-15
Last Update Date2012-09-26
Business Address
-- AUTUMN RENAE ACKERMAN PA
5656 S 129TH EAST AVE BUILDING C
TULSA, OK 74134-6715
Phone number: 918-357-7378
Mailing Address
-- AUTUMN RENAE ACKERMAN PA
5656 S 129TH EAST AVE BUILDING C
TULSA, OK 74134-6715
Phone number: 918-357-7378
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