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Miranda Balezentis

NPI 1619439510 · on the registry since 2019

Practice

Address
2115 S Memorial Dr
Tulsa, OK 74129
Phone
(918) 622-5184
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-04-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma