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1154394062
ANDREW DRISCOLL DONNELLY
JENKS, OK
NPI
1154394062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 21227)
Enumeration Date
2006-02-10
Last Update Date
2011-01-03
Business Address
-- ANDREW DRISCOLL DONNELLY MD
619 E MAIN ST
JENKS, OK 74037-4138
Phone number: 918-299-8080
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Mailing Address
-- ANDREW DRISCOLL DONNELLY MD
615 E MAIN ST
JENKS, OK 74037-4138
Phone number: 918-299-8080
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