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Tyler Tait
Student in an Organized Health Care Education/Training Program in Tahlequah, Oklahoma
NPI 1316330293

Tyler Tait is a Student in an Organized Health Care Education/Training Program based in Hattiesburg, OK. Tyler Tait practices in Tahlequah, OK. The NPI Number for Tyler Tait is 1316330293 and holds a License No. (Oklahoma).

The current practice location address for Tyler Tait is 1400 E Downing St, Tahlequah, OK and can be reached out via phone at 918-458-2406.

Location: 1400 E Downing St, Tahlequah, OK, 39401-6238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316330293
Provider Name
Tyler Tait
Credential
Provider Entity Type
Individual
Gender
Male
Address
1400 E Downing St, Tahlequah, OK, 39401-6238
Phone Number
918-458-2406
Fax Number
Provider Enumeration Date
03/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 E Downing St
City
Tahlequah
State
Oklahoma
Zip
74464-3324
Phone Number
918-458-2406
Fax Number
person
Provider Business Mailing Address Details
Address
1400 E Downing St
City
Tahlequah
State
Oklahoma
Zip
74464-3324
Phone Number
918-458-2406
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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