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1295318152
JUSTIN LALTHAWMPUIA SAILO
TULSA, OK
NPI
1295318152
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Former Name
JUSTIN LALTHAWM PUIA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 7760)
Enumeration Date
2021-04-29
Last Update Date
2024-08-14
Business Address
DR. JUSTIN LALTHAWMPUIA SAILO DO
7600 S LEWIS AVE
TULSA, OK 74136-6836
Phone number: 539-399-3410
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Mailing Address
DR. JUSTIN LALTHAWMPUIA SAILO DO
7600 S LEWIS AVE
TULSA, OK 74136-6836
Phone number:
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