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Individual

DR. JAMES A TRUDEAU III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1105 E CHEROKEE AVE, SALLISAW, OK 74955-5035
(918) 775-4524
(918) 775-4992
Mailing address
1105 E CHEROKEE AVE, SALLISAW, OK 74955-5035
(918) 775-4524
(918) 775-4992

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OK824
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100764240A
OK
Enumeration date
08/30/2006
Last updated
06/03/2008
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