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1104871995
BENNY ROSS WOFFORD
ADA, OK
NPI
1104871995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2006-05-23
Last Update Date
2014-11-18
Business Address
Mr. BENNY ROSS WOFFORD PA
430 N MONTE VISTA ST
ADA, OK 74820-4610
Phone number: 580-421-1127
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Mailing Address
Mr. BENNY ROSS WOFFORD PA
530 N MONTE VISTA ST SUITE A
ADA, OK 74820-4675
Phone number: 580-436-7101
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