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1023295193
EASTSIDE CLINIC
TAHLEQUAH, OK
NPI
1023295193
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Entity Type
Organization
Authorized Contact
JAMES MARK SERATT
Owner/Doctor
918-456-6250
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 15674)
Enumeration Date
2008-01-30
Last Update Date
2008-07-28
Business Address
EASTSIDE CLINIC
22408 HIGHWAY 51
TAHLEQUAH, OK 74464-2058
Phone number: 918-456-6250
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Mailing Address
EASTSIDE CLINIC
PO BOX 59
TAHLEQUAH, OK 74465-0059
Phone number: 918-456-6250
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