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1265602742
MIKE NELSON
MUSKOGEE, OK
NPI
1265602742
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Entity Type
Organization
Authorized Contact
MIKE H NELSON
Owner
918-682-2181
Organization Subpart ?
No
Primary Taxonomy
152W00000X Optometrist
Enumeration Date
2008-03-11
Last Update Date
2008-03-11
Business Address
MIKE NELSON
105 N YORK ST
MUSKOGEE, OK 74403-4657
Phone number: 918-682-2181
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Mailing Address
MIKE NELSON
105 N YORK ST
MUSKOGEE, OK 74403-4657
Phone number:
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