DOUGLAS PENISTEN

TAHLEQUAH, OK
NPI1487673489
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: OK  2078)
Enumeration Date2006-07-19
Last Update Date2008-07-31
Business Address
DR. DOUGLAS PENISTEN OD
1001 N GRAND AVE
TAHLEQUAH, OK 74464-7017
Phone number: 918-458-2109
Mailing Address
DR. DOUGLAS PENISTEN OD
1001 N GRAND AVE
TAHLEQUAH, OK 74464-7017
Phone number: 918-456-5511
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