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1164586699
MICHAEL BRIAN WATTERS
SHAWNEE, OK
NPI
1164586699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OK 2408)
Enumeration Date
2006-12-20
Last Update Date
2013-07-31
Business Address
-- MICHAEL BRIAN WATTERS OD
2020 N HARRISON
SHAWNEE, OK 74804
Phone number: 405-273-7075
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Mailing Address
-- MICHAEL BRIAN WATTERS OD
2020 N HARRISON ST
SHAWNEE, OK 74804-3141
Phone number: 405-273-7075
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