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1245380005
ADVANCED EAR NOSE & THROAT, P.C.
MIDWEST CITY, OK
NPI
1245380005
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Entity Type
Organization
Authorized Contact
RONALD JEFFREY GOODELL
President
314-239-3527
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: OK 4473)
Enumeration Date
2007-01-11
Last Update Date
2010-04-27
Business Address
ADVANCED EAR NOSE & THROAT, P.C.
1201 S DOUGLAS BLVD SUITE L
MIDWEST CITY, OK 73130-5239
Phone number: 314-239-3527
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Mailing Address
ADVANCED EAR NOSE & THROAT, P.C.
972 SUNBURST CT
BALLWIN, MO 63021-6937
Phone number:
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