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1851651327
TISHA DENISE RICHARDSON
OKLAHOMA CITY, OK
NPI
1851651327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK L 0050611)
Enumeration Date
2012-05-18
Last Update Date
2012-05-18
Business Address
MS. TISHA DENISE RICHARDSON LPN
8000 BREEZEWOOD DR
OKLAHOMA CITY, OK 73135-6338
Phone number: 405-501-6939
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Mailing Address
MS. TISHA DENISE RICHARDSON LPN
8000 BREEZEWOOD DR
OKLAHOMA CITY, OK 73135-6338
Phone number: 405-501-6939
Copy
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