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1962281295
KRYSTAL ROTH
TULSA, OK
NPI
1962281295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364S00000X Clinical Nurse Specialist
(Licence: OK 215355)
Enumeration Date
2023-09-26
Last Update Date
2023-09-26
Business Address
KRYSTAL ROTH
1815 E 15TH ST
TULSA, OK 74104-4610
Phone number: 918-809-6205
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Mailing Address
KRYSTAL ROTH
PO BOX 4769
TULSA, OK 74159-0769
Phone number: 918-809-6205
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