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Individual

TRAVIS PARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
10010 E 81ST ST, TULSA, OK 74133-4556
(405) 620-5668
Mailing address
1450 N BITTERCREEK TER, MUSTANG, OK 73064-9430
(405) 620-5668

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3002
OK

Other

Enumeration date
07/24/2018
Last updated
07/24/2018
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