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1366754202
CEDAR RIDGE CLINIC,P.C.
TULSA, OK
NPI
1366754202
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Entity Type
Organization
Authorized Contact
TRUNG H PHAM
Physician
918-459-0583
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 3313)
Enumeration Date
2010-07-08
Last Update Date
2010-11-23
Business Address
CEDAR RIDGE CLINIC,P.C.
10016 S MINGO RD STE A
TULSA, OK 74133-5789
Phone number: 918-459-0583
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Mailing Address
CEDAR RIDGE CLINIC,P.C.
10016 S MINGO RD STE A
TULSA, OK 74133-5789
Phone number: 918-459-0583
Copy
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