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1003099276
CASEY HANNA MD PROFESSIONAL CORPORATION
WAGONER, OK
NPI
1003099276
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Entity Type
Organization
Authorized Contact
BRYAN CASEY HANNA
Owner
918-485-5188
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 21947)
Enumeration Date
2007-12-11
Last Update Date
2009-07-22
Business Address
CASEY HANNA MD PROFESSIONAL CORPORATION
1202 W CHEROKEE ST STE E
WAGONER, OK 74467-4629
Phone number: 918-485-5188
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Mailing Address
CASEY HANNA MD PROFESSIONAL CORPORATION
PO BOX 894
WAGONER, OK 74477-0894
Phone number: 918-485-5188
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