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Individual

DAWN ELAINE TEEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
6351 E 67TH PL, TULSA, OK 74136-3506
(918) 497-2002
(918) 497-2022
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2052
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100760420A
OK
Enumeration date
10/28/2005
Last updated
05/16/2022
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