Individual
EMILY L BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1001 N GRAND AVE, TAHLEQUAH, OK 74464-7017
(316) 300-6445
Mailing address
1001 N GRAND AVE, TAHLEQUAH, OK 74464-7017
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1961
KS
152W00000X
Optometrist
Primary
2767
OK
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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