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1386852150
TRACIE GAYLE MALLOY
TULSA, OK
NPI
1386852150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OK 5399)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
Dr. TRACIE GAYLE MALLOY D.D.S.
1225 E 19TH ST
TULSA, OK 74120-7418
Phone number: 918-582-3927
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Mailing Address
Dr. TRACIE GAYLE MALLOY D.D.S.
1225 E 19TH ST
TULSA, OK 74120-7418
Phone number: 918-582-3927
Copy
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