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1194741561
TULSA DERMATOLOGY CLINIC INC
TULSA, OK
NPI
1194741561
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Entity Type
Organization
Authorized Contact
LAWRENCE J GREGG
President
918-749-2261
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2006-07-15
Last Update Date
2008-05-16
Business Address
TULSA DERMATOLOGY CLINIC INC
2121 E 21ST ST
TULSA, OK 74114-1409
Phone number: 918-749-2261
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Mailing Address
TULSA DERMATOLOGY CLINIC INC
PO BOX 52588
TULSA, OK 74152-0588
Phone number: 918-749-2261
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