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1194044313
WALLACE B MCLEOD III, INC
OKLAHOMA CITY, OK
NPI
1194044313
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Entity Type
Organization
Authorized Contact
JESSIE MAE SHAMBRA
Office Manager
405-424-0111
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2010-05-27
Last Update Date
2022-10-17
Business Address
WALLACE B MCLEOD III, INC
2216 N MARTIN LUTHER KING AVE
OKLAHOMA CITY, OK 73111-2445
Phone number: 405-424-0111
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Mailing Address
WALLACE B MCLEOD III, INC
2216 N MARTIN LUTHER KING AVE
OKLAHOMA CITY, OK 73111-2445
Phone number: 405-424-0111
Copy
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