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1598263048
SMOKEY LEE TACKER
PRYOR, OK
NPI
1598263048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2018-01-30
Last Update Date
2018-01-30
Business Address
SMOKEY LEE TACKER
109 N FAIRLAND ST
PRYOR, OK 74361-4203
Phone number: 918-825-1405
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Mailing Address
SMOKEY LEE TACKER
109 N FAIRLAND ST
PRYOR, OK 74361-4203
Phone number: 918-273-1841
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