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1316907397
MONTY J GRUGAN
IDABEL, OK
NPI
1316907397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 4146)
Enumeration Date
2006-03-24
Last Update Date
2016-12-30
Business Address
Dr. MONTY J GRUGAN DO
1301 E LINCOLN RD
IDABEL, OK 74745-7300
Phone number: 580-208-3121
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Mailing Address
Dr. MONTY J GRUGAN DO
117 N BROADWAY ST
BROKEN BOW, OK 74728-3933
Phone number: 580-208-3121
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