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1225296361
JAISWAL CLINIC PLLC
DURANT, OK
NPI
1225296361
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Entity Type
Organization
Authorized Contact
DEEPAK S JAISWAL
Owner
580-924-4704
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2008-05-27
Last Update Date
2012-02-01
Business Address
JAISWAL CLINIC PLLC
702 BRYAN DR SUITE 100
DURANT, OK 74701-7031
Phone number: 580-924-4704
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Mailing Address
JAISWAL CLINIC PLLC
PO BOX 1514
DURANT, OK 74702-1514
Phone number: 580-924-4704
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