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1194702167
GLENN LYTLE
BROKEN ARROW, OK
NPI
1194702167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 16019)
Enumeration Date
2005-12-29
Last Update Date
2014-10-09
Business Address
GLENN LYTLE MD
3801 W UTICA ST
BROKEN ARROW, OK 74011-1365
Phone number: 918-286-1920
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Mailing Address
GLENN LYTLE MD
3801 W UTICA ST
BROKEN ARROW, OK 74011-1365
Phone number: 918-286-1920
Copy
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