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1013914324
GWEN CANARIAS FUENTES
ARDMORE, OK
NPI
1013914324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OK 13171)
Enumeration Date
2005-06-30
Last Update Date
2007-07-09
Business Address
Dr. GWEN CANARIAS FUENTES M.D.
919 15TH AVE NW
ARDMORE, OK 73401-1809
Phone number: 580-223-5693
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Mailing Address
Dr. GWEN CANARIAS FUENTES M.D.
919 15TH AVE NW
ARDMORE, OK 73401-1809
Phone number: 580-223-5693
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