Individual
AUBRY TACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 N GRAND AVE, TAHLEQUAH, OK 74464-7017
(918) 444-4000
Mailing address
14947 N TYLER ST, TAHLEQUAH, OK 74464-1397
(405) 595-7711
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3244
OK
Other
Enumeration date
04/11/2023
Last updated
10/13/2023
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