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1326332834
CARL MACK MASSENGALE
MULDROW, OK
NPI
1326332834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date
2011-06-01
Last Update Date
2014-08-19
Business Address
Mr. CARL MACK MASSENGALE CSA
1904 FISHER RD
MULDROW, OK 74948-2704
Phone number: 479-883-7286
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Mailing Address
Mr. CARL MACK MASSENGALE CSA
1904 FISHER RD
MULDROW, OK 74948-2704
Phone number: 479-883-7286
Copy