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Justin Tedesco, RN

NPI 1831358886 · on the registry since 2008

Practice

Address
12005 E 470 Rd
Claremore, OK 74017
Phone
(918) 342-0770
Fax
(918) 342-0087
Organisation at this address
Grand Lake Mental Health Center Inc
Grand Lake Mental Health Center Inc
Grand Lake Mental Health Center, Inc
Grand Lake Mental Health Center, Inc.
Grand Lake Mental Health Center, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
184

Registry record

Primary taxonomy
Registered Nurse
163W00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-12-05
Status
Not present in the most recent federal file

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