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1063008316
STEFAN JACOB GELVEN
PONCA CITY, OK
NPI
1063008316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OK 7403)
Enumeration Date
2020-12-21
Last Update Date
2020-12-21
Business Address
Dr. STEFAN JACOB GELVEN DDS
503 N 14TH ST
PONCA CITY, OK 74601-4655
Phone number: 580-200-2282
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Mailing Address
Dr. STEFAN JACOB GELVEN DDS
4599 N WASHINGTON ST APT 33D
STILLWATER, OK 74075-1350
Phone number: 580-304-1800
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