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1093732562
MALCOLM DEREK SMITH
PONCA CITY, OK
NPI
1093732562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: OK 198)
Enumeration Date
2006-07-17
Last Update Date
2008-04-22
Business Address
Dr. MALCOLM DEREK SMITH DPM
1700 N 5TH ST
PONCA CITY, OK 74601-2762
Phone number: 580-765-3389
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Mailing Address
Dr. MALCOLM DEREK SMITH DPM
1700 N 5TH ST
PONCA CITY, OK 74601-2762
Phone number: 580-765-3389
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