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Individual

ALIA CAPPELLANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1001 N GRAND AVE, TAHLEQUAH, OK 74464-7017
(918) 708-5943
Mailing address
3775 SOUTHRIDGE CIR APT 11, TAHLEQUAH, OK 74464-7941
(918) 708-5943

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
3165
OK

Other

Enumeration date
06/27/2022
Last updated
08/01/2022
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