VICTOR TACKETT

TULSA, OK
NPI1518472281
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OK  106065)
Enumeration Date2017-12-04
Last Update Date2017-12-04
Business Address
VICTOR TACKETT
1120 S UTICA AVE
TULSA, OK 74104-4012
Phone number: 800-939-7440
Mailing Address
VICTOR TACKETT
2745 S EVANSTON AVE
TULSA, OK 74114-5711
Phone number: 800-939-7440
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