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1316948656
MICHAEL T MONTAGUE
TULSA, OK
NPI
1316948656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 1208)
Enumeration Date
2005-08-09
Last Update Date
2008-06-19
Business Address
-- MICHAEL T MONTAGUE PAC
1334 N LANSING AVE
TULSA, OK 74106-5907
Phone number: 918-587-2171
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Mailing Address
-- MICHAEL T MONTAGUE PAC
1334 N LANSING AVE
TULSA, OK 74106-5907
Phone number: 918-587-2171
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