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1205103231
NORTHSIDE FAMILY PRACTICE PLLC
TULSA, OK
NPI
1205103231
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Entity Type
Organization
Authorized Contact
PRAKASH GEORGE
CFO
918-704-9408
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2011-11-18
Last Update Date
2012-03-07
Business Address
NORTHSIDE FAMILY PRACTICE PLLC
3606 N CINCINNATI AVE
TULSA, OK 74106-1536
Phone number: 918-794-3536
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Mailing Address
NORTHSIDE FAMILY PRACTICE PLLC
3606 N CINCINNATI AVE
TULSA, OK 74106-1536
Phone number: 918-794-3536
Copy
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