SMOKEY LEE TACKER

PRYOR, OK
NPI1598263048
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2018-01-30
Last Update Date2018-01-30
Business Address
SMOKEY LEE TACKER
109 N FAIRLAND ST
PRYOR, OK 74361-4203
Phone number: 918-825-1405
Mailing Address
SMOKEY LEE TACKER
109 N FAIRLAND ST
PRYOR, OK 74361-4203
Phone number: 918-273-1841