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1114032539
PHILLIP RAY BERRY
TULSA, OK
NPI
1114032539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: OK 3021)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
-- PHILLIP RAY BERRY D.O.
1145 S UTICA AVE SUITE 453
TULSA, OK 74104-4000
Phone number: 918-596-7078
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Mailing Address
-- PHILLIP RAY BERRY D.O.
7514 S 107TH EAST AVE
TULSA, OK 74133-2530
Phone number: 918-252-0038
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