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1376501189
MARK WAYNE PERDUE
TULSA, OK
NPI
1376501189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK 1317)
Enumeration Date
2006-05-02
Last Update Date
2010-04-13
Business Address
-- MARK WAYNE PERDUE P.A.
1717 S UTICA AVE STE A
TULSA, OK 74104-5346
Phone number: 918-748-7557
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Mailing Address
-- MARK WAYNE PERDUE P.A.
1515 N HARVARD AVE STE E
TULSA, OK 74115-4957
Phone number: 918-832-6049
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