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1194227868
TATE TRISKA
OKLAHOMA CITY, OK
NPI
1194227868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: OK 6785)
Enumeration Date
2018-03-08
Last Update Date
2022-03-21
Business Address
TATE TRISKA
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120-8304
Phone number: 405-755-1515
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Mailing Address
TATE TRISKA
2217 NE 131ST ST
EDMOND, OK 73013-5729
Phone number: 405-250-8891
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