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1972523751
ALISSA PROCTOR
TAHLEQUAH, OK
NPI
1972523751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OK 2465)
Enumeration Date
2006-07-21
Last Update Date
2008-08-04
Business Address
DR. ALISSA PROCTOR OD
1001 N GRAND AVE
TAHLEQUAH, OK 74464-7017
Phone number: 918-458-2109
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Mailing Address
DR. ALISSA PROCTOR OD
1001 N GRAND AVE
TAHLEQUAH, OK 74464-7017
Phone number: 918-456-5511
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