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1487148177
CLAYTON FRANKLIN FUQUA
TINKER AFB, OK
NPI
1487148177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: VA 0101267570)
Enumeration Date
2018-06-18
Last Update Date
2022-03-07
Business Address
Dr. CLAYTON FRANKLIN FUQUA MD
7050 AIR DEPOT BLVD BLDG 1094
TINKER AFB, OK 73145-8716
Phone number: 405-582-6615
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Mailing Address
Dr. CLAYTON FRANKLIN FUQUA MD
7050 AIR DEPOT BLVD BLDG 1094
TINKER AFB, OK 73145-8716
Phone number: 405-582-6615
Copy
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