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1417333451
TRAVIS STORTS
ARDMORE, OK
NPI
1417333451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OK 6692)
Enumeration Date
2015-07-31
Last Update Date
2015-07-31
Business Address
-- TRAVIS STORTS D.D.S.
1220 MERRICK DR
ARDMORE, OK 73401-1824
Phone number: 580-223-6720
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Mailing Address
-- TRAVIS STORTS D.D.S.
1220 MERRICK DR
ARDMORE, OK 73401-1824
Phone number: 580-223-6720
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