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1053371021
TRACEY WAY CHILDERS
TAHLEQUAH, OK
NPI
1053371021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery
(Licence: OK 3296)
Enumeration Date
2006-03-24
Last Update Date
2024-05-28
Business Address
-- TRACEY WAY CHILDERS D.O.
1203 E ROSS BYP SUITE A
TAHLEQUAH, OK 74464-4188
Phone number: 918-453-1234
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Mailing Address
-- TRACEY WAY CHILDERS D.O.
1203 E ROSS BYP SUITE A
TAHLEQUAH, OK 74464-4188
Phone number: 918-453-1234
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