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1952321382
KIPPI D WYATT
TAHLEQUAH, OK
NPI
1952321382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OK 1146)
Enumeration Date
2006-07-20
Last Update Date
2012-02-08
Business Address
Dr. KIPPI D WYATT OD
1001 N GRAND AVE
TAHLEQUAH, OK 74464-7017
Phone number: 918-458-2109
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Mailing Address
Dr. KIPPI D WYATT OD
1001 N GRAND AVE
TAHLEQUAH, OK 74464-7017
Phone number: 918-456-5511
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