Individual
MACI TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(405) 424-7711
Mailing address
1701 CORBIN LN, WEATHERFORD, OK 73096-6114
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
218759
OK
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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