MICHAEL ELVIN TATE

MUSKOGEE, OK
NPI1386133528
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2018-05-03
Last Update Date2018-05-03
Business Address
MR. MICHAEL ELVIN TATE
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-682-6407
Mailing Address
MR. MICHAEL ELVIN TATE
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-682-6407
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