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1104478007
SHAD T BATEMAN
DURANT, OK
NPI
1104478007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 0282R)
Enumeration Date
2019-07-10
Last Update Date
2020-03-23
Business Address
SHAD T BATEMAN DO
1600 W UNIVERSITY BLVD
DURANT, OK 74701-3094
Phone number: 580-924-5500
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Mailing Address
SHAD T BATEMAN DO
1600 W UNIVERSITY BLVD
DURANT, OK 74701-3094
Phone number: 580-924-5500
Copy
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