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1073693917
JOHN C LOOSE
LAWTON, OK
NPI
1073693917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 3271)
Enumeration Date
2006-10-16
Last Update Date
2016-10-27
Business Address
-- JOHN C LOOSE D.O.
3201 W GORE BLVD STE 305 MEMORIAL MEDICAL GROUP
LAWTON, OK 73505-6350
Phone number: 580-510-7070
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Mailing Address
-- JOHN C LOOSE D.O.
8 NW WENTWOOD HILL DR
LAWTON, OK 73505-9501
Phone number: 580-704-2502
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