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1801061353
TARA GLEAVES
OKLAHOMA CITY, OK
NPI
1801061353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK 1727)
Enumeration Date
2008-04-25
Last Update Date
2013-09-04
Business Address
-- TARA GLEAVES P.A.
3500 S WESTERN AVE
OKLAHOMA CITY, OK 73109-2413
Phone number: 405-632-5565
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Mailing Address
-- TARA GLEAVES P.A.
3500 S WESTERN AVE
OKLAHOMA CITY, OK 73109-2413
Phone number: 405-632-5565
Copy
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