Vickie Jean Tipton

NPI 1023345279 - Assisted Living Facility - 3104A0625X

NPI Details
NPI 1023345279
Gender Female
Enumeration Date 11/09/2009
Last Updated 11/09/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
618 E CANADIAN AVE
VINITA OK, 74301-3810, US
Phone (918) 244-9876
Fax
Business Location
618 E CANADIAN AVE
VINITA OK, 74301-3810, US
Phone (918) 244-9876
Fax
Toxanomy
Taxonomy Code 3104A0625X
License State Oklahoma
License Number RC1804-1804
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According to our database, Vickie Jean Tipton NPI is 1023345279, taxonomy code is 3104A0625X and license number is RC1804-1804, license state is located at Oklahoma. Vickie Jean Tipton physically located at 618 E Canadian Ave, Vinita OK, 74301-3810. NPI Number Vickie Jean Tipton has the Individual type.

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1023345279 NPI number is provided on an as is basis without warranty of any kind. 1023345279 is maintained by the National Plan & Provider Enumeration System. The contents of Vickie Jean Tipton are for informational purposes only.