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Individual

MR. CEDRICK MAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1001 N GRAND AVE, TAHLEQUAH, OK 74464-7017
(918) 444-4000
Mailing address
3749 SOUTHRIDGE CIR APT 4, TAHLEQUAH, OK 74464-7928
(918) 570-5303

Taxonomy

Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
3179
OK

Other

Enumeration date
06/29/2022
Last updated
11/09/2022
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