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1124245469
IAN JON DESPAIN
TULSA, OK
NPI
1124245469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
-- IAN JON DESPAIN st
1809 E 13TH ST STE 400
TULSA, OK 74104-4431
Phone number: 918-599-8200
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Mailing Address
-- IAN JON DESPAIN st
11911 E 20TH ST
TULSA, OK 74128-6419
Phone number:
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