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1114336534
EAST TULSA MEDICAL GROUP
TULSA, OK
NPI
1114336534
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Entity Type
Organization
Authorized Contact
JEFF A BARENTINE
Partner
918-437-6830
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 1567)
Enumeration Date
2014-08-11
Last Update Date
2014-08-11
Business Address
EAST TULSA MEDICAL GROUP
11445 E 20TH ST
TULSA, OK 74128-6421
Phone number: 918-437-6830
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Mailing Address
EAST TULSA MEDICAL GROUP
11445 E 20TH ST
TULSA, OK 74128-6421
Phone number: 918-437-6830
Copy
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