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1033100268
MAX BRIAN SWENSON
TULSA, OK
NPI
1033100268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK PA15)
Enumeration Date
2005-11-05
Last Update Date
2011-12-22
Business Address
Mr. MAX BRIAN SWENSON PA-C
8801 S. 101ST EAST AVE
TULSA, OK 74133
Phone number: 918-294-6911
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Mailing Address
Mr. MAX BRIAN SWENSON PA-C
9641 S. SANDUSKY
TULSA, OK 74137-4812
Phone number: 918-294-4779
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