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1255384483
CLINTON GRAVES WALLIS
OKLAHOMA CITY, OK
NPI
1255384483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine Gastroenterology
(Licence: OK 24646)
Enumeration Date
2006-05-18
Last Update Date
2023-01-13
Business Address
DR. CLINTON GRAVES WALLIS M.D.
6516 N OLIE AVE STE A
OKLAHOMA CITY, OK 73116-7399
Phone number: 405-486-6960
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Mailing Address
DR. CLINTON GRAVES WALLIS M.D.
6516 N. OLIVE AVE SUITE A
OKLAHOMA CITY, OK 73116-4462
Phone number: 405-486-6960
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