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1467444315
GARY A DORMAN
PONCA CITY, OK
NPI
1467444315
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: OK 1043)
Enumeration Date
2005-08-17
Last Update Date
2009-05-01
Business Address
-- GARY A DORMAN
400 FAIRVIEW AVE SUITE 21
PONCA CITY, OK 74601-1922
Phone number: 580-765-3356
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Mailing Address
-- GARY A DORMAN
400 FAIRVIEW AVE SUITE 21
PONCA CITY, OK 74601-1922
Phone number: 580-765-3356
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