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1124614003
JOHN WILLIAM SURBECK
OKLAHOMA CITY, OK
NPI
1124614003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-12-15
Last Update Date
2020-12-15
Business Address
JOHN WILLIAM SURBECK
940 NE 13TH ST
OKLAHOMA CITY, OK 73104-5008
Phone number: 405-271-6458
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Mailing Address
JOHN WILLIAM SURBECK
940 NE 13TH ST
OKLAHOMA CITY, OK 73104-5008
Phone number: 918-845-3580
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