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1265659304
GENE M. KOOP
EDMOND, OK
NPI
1265659304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OK 3394)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
Dr. GENE M. KOOP D.D.S.
1400 E 9TH ST
EDMOND, OK 73034-5701
Phone number: 405-348-0728
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Mailing Address
Dr. GENE M. KOOP D.D.S.
1400 E 9TH ST
EDMOND, OK 73034-5701
Phone number: 405-348-0728
Copy
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