Individual
MR. THOMAS DEAN BEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
529 S MISSION AVE, TAHLEQUAH, OK 74464-4313
(918) 207-9231
Mailing address
529 S. MISSION, TAHLEQUAH, OK 74464
(918) 207-9231
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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