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1265108815
ANDREW COUFAL
PONCA CITY, OK
NPI
1265108815
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: OK 3120)
Enumeration Date
2021-08-23
Last Update Date
2021-08-23
Business Address
Dr. ANDREW COUFAL OD
502 E PROSPECT AVE
PONCA CITY, OK 74601-7404
Phone number: 580-765-7509
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Mailing Address
Dr. ANDREW COUFAL OD
502 E PROSPECT AVE
PONCA CITY, OK 74601-7404
Phone number: 580-765-7509
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