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1962926253
STEPHANIE P SOUVANNACHAK-COWICK
TULSA, OK
NPI
1962926253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OK 2954)
Enumeration Date
2017-07-28
Last Update Date
2018-03-17
Business Address
Dr. STEPHANIE P SOUVANNACHAK-COWICK OD
10920 S MEMORIAL DR
TULSA, OK 74133-7352
Phone number: 918-366-2020
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Mailing Address
Dr. STEPHANIE P SOUVANNACHAK-COWICK OD
113 E 125TH CT S
JENKS, OK 74037-1075
Phone number: 479-871-7525
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