Individual
MS. PATTI ELIZABETH TANKSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 W JUNIPER DR, MUSTANG, OK 73064-3041
(405) 376-3605
(405) 376-3605
Mailing address
711 W JUNIPER DR, MUSTANG, OK 73064-3041
(405) 376-3605
(405) 376-3605
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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