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1245215524
GARY LEE WADE
MOORE, OK
NPI
1245215524
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: OK 939)
Enumeration Date
2005-12-09
Last Update Date
2012-08-30
Business Address
Dr. GARY LEE WADE O.D.
306 SE 4TH ST
MOORE, OK 73160-6707
Phone number: 405-794-2020
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Mailing Address
Dr. GARY LEE WADE O.D.
306 SE 4TH ST
MOORE, OK 73160-6707
Phone number: 405-794-2020
Copy
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