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1114440138
BRENT ROBERTS
TAHLEQUAH, OK
NPI
1114440138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OK 2949)
Enumeration Date
2017-07-21
Last Update Date
2017-07-21
Business Address
Dr. BRENT ROBERTS OD
1001 N GRAND AVE
TAHLEQUAH, OK 74464-7017
Phone number: 918-444-2109
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Mailing Address
Dr. BRENT ROBERTS OD
118 SOUTHLAND DR
TAHLEQUAH, OK 74464-5751
Phone number: 918-869-8673
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