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1417011693
CENTER FOR PLASTIC SURGERY PC
TULSA, OK
NPI
1417011693
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Entity Type
Organization
Authorized Contact
MARK L. MATHERS
Physician
918-749-7177
Organization Subpart ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: OK 2384)
Enumeration Date
2006-12-21
Last Update Date
2010-07-07
Business Address
CENTER FOR PLASTIC SURGERY PC
1844 E 15TH ST
TULSA, OK 74104-4611
Phone number: 918-749-7177
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Mailing Address
CENTER FOR PLASTIC SURGERY PC
1844 E 15TH ST
TULSA, OK 74104-4611
Phone number: 918-749-7177
Copy
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