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1891032017
CORIE DETWILER
TULSA, OK
NPI
1891032017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK APA2180)
Enumeration Date
2013-01-08
Last Update Date
2015-12-07
Business Address
Ms. CORIE DETWILER PA
9716 RIVERSIDE PKWY
TULSA, OK 74137-7447
Phone number: 918-528-4897
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Mailing Address
Ms. CORIE DETWILER PA
9716 RIVERSIDE PKWY
TULSA, OK 74137-7447
Phone number: 918-299-4333
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