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1285612648
FABIO MOTA
ADA, OK
NPI
1285612648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OH 35039116M)
Enumeration Date
2006-01-05
Last Update Date
2011-07-21
Business Address
-- FABIO MOTA MD
1921 STONECIPHER DR
ADA, OK 74820-3439
Phone number: 580-421-4570
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Mailing Address
-- FABIO MOTA MD
1921 STONECIPHER BOULEVARD
ADA, OK 74820-3439
Phone number: 580-421-4584
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