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1326153644
ERIC WAYNE WYATT
TULSA, OK
NPI
1326153644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OK 5301)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
Mr. ERIC WAYNE WYATT DDS
5196 S YALE AVENUE
TULSA, OK 74135
Phone number: 918-664-1888
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Mailing Address
Mr. ERIC WAYNE WYATT DDS
PO BOX 3040
BROKEN ARROW, OK 74013
Phone number: 918-664-1888
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