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Individual

TYREE CADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
748 NE 81ST ST, OKLAHOMA CITY, OK 73114-4002
(405) 501-0150
Mailing address
748 NE 81ST ST, OKLAHOMA CITY, OK 73114-4002

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/25/2013
Last updated
09/25/2013
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  • Eligibility checks
  • EDI platform