DWAYNE REMON TATE

TULSA, OK
NPI1124454277
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2013-09-20
Last Update Date2013-09-20
Business Address
-- DWAYNE REMON TATE
11807 E 21ST CT
TULSA, OK 74129-5641
Phone number: 786-365-5966
Mailing Address
-- DWAYNE REMON TATE
11807 E 21ST CT
TULSA, OK 74129
Phone number: 786-365-5966
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