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1487666467
JACK EDWARD WILLOUGHBY
EDMOND, OK
NPI
1487666467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OK 4150)
Enumeration Date
2006-08-11
Last Update Date
2007-07-08
Business Address
Dr. JACK EDWARD WILLOUGHBY D.D.S.
1222 S KELLY AVE
EDMOND, OK 73003-5855
Phone number: 405-341-8518
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Mailing Address
Dr. JACK EDWARD WILLOUGHBY D.D.S.
1222 S KELLY AVE
EDMOND, OK 73003-5855
Phone number: 405-341-8518
Copy
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