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1104923721
HIANTO T TE
GUYMON, OK
NPI
1104923721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: OK 16773)
Enumeration Date
2006-09-17
Last Update Date
2007-07-08
Business Address
-- HIANTO T TE MD
1221 N MAY
GUYMON, OK 73942-1948
Phone number: 580-338-1580
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Mailing Address
-- HIANTO T TE MD
PO BOX 1948
GUYMON, OK 73942
Phone number: 580-338-1580
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