Individual
ROBERT FRANK TIPTON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PARA PROFESSIONAL
Contact information
Practice address
618 E CANADIAN AVE, VINITA, OK 74301-3810
(918) 256-3424
Mailing address
PO BOX 148, VINITA, OK 74301-0148
(918) 244-9877
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
RC1804-1804
OK
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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