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1326764846
PHILO WAYNE WATERS
OKLAHOMA CITY, OK
NPI
1326764846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-10-17
Last Update Date
2024-05-15
Business Address
Mr. PHILO WAYNE WATERS
920 STANTON L YOUNG BLVD # WP1140
OKLAHOMA CITY, OK 73104-5036
Phone number: 405-271-4351
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Mailing Address
Mr. PHILO WAYNE WATERS
1111 W 17TH ST
TULSA, OK 74107-1886
Phone number:
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