Stacey Ann Ellsworth
Stacey Ann Ellsworth is an Other Technician in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
6333 E Skelly DrTulsa, OK 74135-6106
Phone: (918) 633-0325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X |
|---|
Record details
| NPI number | 1427321207 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 9, 2012 |
| Last updated in NPPES | February 9, 2012 |
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