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1679093116
TESSA RAE TATE
SEMINOLE, OK
NPI
1679093116
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: OK 113788)
Enumeration Date
2017-06-26
Last Update Date
2022-09-28
Business Address
Mrs. TESSA RAE TATE APRN
2401 W WRANGLER BLVD
SEMINOLE, OK 74868-1917
Phone number: 405-382-3650
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Mailing Address
Mrs. TESSA RAE TATE APRN
2401 W WRANGLER BLVD
SEMINOLE, OK 74868-1917
Phone number: 405-382-3650
Copy
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