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Idabel Teg LLC

NPI #1104533009 in Idabel, Oklahoma

Provider Information

NPI Number
1104533009
Entity Type
Organization
Organization Name
Idabel Teg LLC
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 31, 2022
Last Updated
Dec 8, 2022

Practice Location

Address
2020 S E WASHINGTON
City
Idabel
State
Oklahoma
ZIP Code
74745
Phone
(903) 329-5051

Authorized Official

Name
KAYLA E GRASSIE
Title
BILLING
Phone
(903) 329-5051

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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