Individual
EVAN TANSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2360 HIGHWAY 62, OKMULGEE, OK 74447-6728
(918) 758-1910
Mailing address
2360 HIGHWAY 62, OKMULGEE, OK 74447-6728
(918) 758-1910
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
10/17/2023
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