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1023071826
JUDY A DISTEFANO
TULSA, OK
NPI
1023071826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: OK 2161)
Enumeration Date
2006-04-11
Last Update Date
2007-10-26
Business Address
-- JUDY A DISTEFANO D.O.
9423 E 95TH CT
TULSA, OK 74133-5805
Phone number: 918-496-2400
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Mailing Address
-- JUDY A DISTEFANO D.O.
9423 E 95TH CT
TULSA, OK 74133-5805
Phone number: 918-496-2400
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