Individual
TAYLOR VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10010 E 81ST ST STE 100, TULSA, OK 74133-4558
(918) 250-2020
Mailing address
1402 N VINITA AVE UNIT 1, TAHLEQUAH, OK 74464-6483
(918) 949-1217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3247
OK
Other
Enumeration date
04/05/2023
Last updated
09/18/2024
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