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1407215460
SHANE BRODY HNATUSKO
TULSA, OK
NPI
1407215460
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: KS 05-40483)
Enumeration Date
2016-02-18
Last Update Date
2019-05-31
Business Address
Mr. SHANE BRODY HNATUSKO MSIV
744 W 9TH ST EMERGENCY MEDICINE DEPARTMENT
TULSA, OK 74127-9020
Phone number: 918-599-5100
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Mailing Address
Mr. SHANE BRODY HNATUSKO MSIV
744 W 9TH ST EMERGENCY MEDICINE DEPARTMENT
TULSA, OK 74127-9020
Phone number: 918-599-5100
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