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1336333442
GARY DWAYNE RALEIGH
BROKEN ARROW, OK
NPI
1336333442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK 60070)
Enumeration Date
2007-08-31
Last Update Date
2010-08-03
Business Address
-- GARY DWAYNE RALEIGH NP
503 S ASPEN
BROKEN ARROW, OK 74012
Phone number: 918-331-9184
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Mailing Address
-- GARY DWAYNE RALEIGH NP
6906 E 83RD ST N
OWASSO, OK 74055-7290
Phone number: 918-341-6873
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