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1417463969
MATTHEW DAVID VANVALIN
TULSA, OK
NPI
1417463969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK PA2874)
Enumeration Date
2017-12-20
Last Update Date
2018-01-15
Business Address
MATTHEW DAVID VANVALIN PA-C
7858 S OLYMPIA AVE
TULSA, OK 74132-1857
Phone number: 918-986-9250
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Mailing Address
MATTHEW DAVID VANVALIN PA-C
6600 S YALE AVE STE 1200
TULSA, OK 74136-3361
Phone number: 918-488-6045
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