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1437344330
CHARLES VALGORA
PONCA CITY, OK
NPI
1437344330
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: OK 1648)
Enumeration Date
2007-09-13
Last Update Date
2007-09-13
Business Address
CHARLES VALGORA PA
2101 N 14TH ST STE114
PONCA CITY, OK 74601-1807
Phone number: 580-762-1552
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Mailing Address
CHARLES VALGORA PA
2101 NORTH 14TH STREET STE114
PONCA CITY, OK 74601
Phone number: 580-762-1552
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