WILLIE J STREET

TONKAWA, OK
NPI1215005244
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  631)
Enumeration Date2006-11-30
Last Update Date2012-03-07
Business Address
Mr. WILLIE J STREET P.A.-C
600 E GRAND AVE
TONKAWA, OK 74653-3545
Phone number: 580-628-4800
Mailing Address
Mr. WILLIE J STREET P.A.-C
PO BOX 532
TONKAWA, OK 74653-0532
Phone number: 580-628-4800
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