Provider First Line Business Practice Location Address:
3027 S NEW HAVEN
Provider Second Line Business Practice Location Address:
TULSA PUBLIC SCHOOL DISTRICT
Provider Business Practice Location Address City Name:
TULSA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74147
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-746-6328
Provider Business Practice Location Address Fax Number:
918-746-6341
Provider Enumeration Date:
06/24/2006