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1073040358
ROSS LUCAS FORRESTER
EUFAULA, OK
NPI
1073040358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223D0001X Dentist, Dental Public Health
(Licence: AZ D009682)
Enumeration Date
2017-05-17
Last Update Date
2017-05-17
Business Address
Dr. ROSS LUCAS FORRESTER D.M.D.
800 W FORREST AVE
EUFAULA, OK 74432-3249
Phone number: 918-448-8399
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Mailing Address
Dr. ROSS LUCAS FORRESTER D.M.D.
P.O. BOX 400
OKMULGEE, OK 74447-3551
Phone number: 918-448-8399
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