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1386070142
ROBERT ANTHONY DATTALA
TULSA, OK
NPI
1386070142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK 56606)
Enumeration Date
2013-09-24
Last Update Date
2013-09-24
Business Address
Mr. ROBERT ANTHONY DATTALA LPN
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-664-4224
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Mailing Address
Mr. ROBERT ANTHONY DATTALA LPN
6333 E SKELLY DR
TULSA, OK 74135-6106
Phone number: 918-664-4224
Copy
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