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1932524923
BEVERLY LACY
TULSA, OK
NPI
1932524923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: OK 0065296)
Enumeration Date
2014-02-27
Last Update Date
2014-02-27
Business Address
-- BEVERLY LACY
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-664-4224
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Mailing Address
-- BEVERLY LACY
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-664-4224
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