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1942877295
LAURA RENEE BALLEW
TULSA, OK
NPI
1942877295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK 204093)
Enumeration Date
2021-06-07
Last Update Date
2023-07-20
Business Address
Mrs. LAURA RENEE BALLEW
1717 S UTICA AVE STE A
TULSA, OK 74104-5346
Phone number: 918-748-7559
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Mailing Address
Mrs. LAURA RENEE BALLEW
2608 E 74TH ST
TULSA, OK 74136-5557
Phone number: 918-671-9454
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