Individual
MARY TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 W 7TH AVE, STILLWATER, OK 74074-4032
(405) 372-3370
(405) 372-3389
Mailing address
103 W 7TH AVE, STILLWATER, OK 74074-4032
(405) 372-3370
(405) 372-3389
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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