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1023086360
THERESA C THAI
OKLAHOMA CITY, OK
NPI
1023086360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: OK 22535)
Enumeration Date
2006-03-11
Last Update Date
2011-01-26
Business Address
-- THERESA C THAI MD
940 NE 13TH ST 4G4250
OKLAHOMA CITY, OK 73104-5008
Phone number: 405-271-5125
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Mailing Address
-- THERESA C THAI MD
1122 NE 13TH ST ORI236
OKLAHOMA CITY, OK 73117-1039
Phone number: 405-271-1515
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