TIFANIE LYN

OKMULGEE, OK
NPI1164784831
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: OK  3914)
Enumeration Date2012-06-08
Last Update Date2021-01-14
Business Address
TIFANIE LYN MS
316 E 8TH ST
OKMULGEE, OK 74447-4616
Phone number: 918-758-2000
Mailing Address
TIFANIE LYN MS
9410 N 96TH EAST AVE
OWASSO, OK 74055-7279
Phone number: 918-510-1116
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