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1164929774
OMID ROOSTAEYAN
EDMOND, OK
NPI
1164929774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 37981)
Enumeration Date
2018-04-10
Last Update Date
2021-07-20
Business Address
OMID ROOSTAEYAN MD
18503 N PORTLAND AVE
EDMOND, OK 73012-9149
Phone number: 405-531-4271
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Mailing Address
OMID ROOSTAEYAN MD
18503 N PORTLAND AVE
EDMOND, OK 73012-9149
Phone number: 405-531-4271
Copy
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