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1245738145
TREY RYAN ROUNDTREE
ARDMORE, OK
NPI
1245738145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OK 99885)
Enumeration Date
2018-01-25
Last Update Date
2018-03-17
Business Address
TREY RYAN ROUNDTREE APRN-CRNA
1011 14TH AVE NW
ARDMORE, OK 73401-1828
Phone number: 580-223-5400
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Mailing Address
TREY RYAN ROUNDTREE APRN-CRNA
729 DOLESE RD
ARDMORE, OK 73401-7578
Phone number: 580-513-4732
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