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1013090919
THERESA L GAVULA
OKLAHOMA CITY, OK
NPI
1013090919
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK 1312)
Enumeration Date
2006-10-23
Last Update Date
2011-09-12
Business Address
-- THERESA L GAVULA P.A.-C
1200 N PHILLIPS AVE SUITE 14500
OKLAHOMA CITY, OK 73104-4600
Phone number: 405-271-5311
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Mailing Address
-- THERESA L GAVULA P.A.-C
1200 N PHILLIPS AVE SUITE 10,000
OKLAHOMA CITY, OK 73104-4600
Phone number: 405-271-4412
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