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1508078932
BRANDON LANE
SAND SPRINGS, OK
NPI
1508078932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OK 4311)
Enumeration Date
2007-05-06
Last Update Date
2007-07-08
Business Address
Dr. BRANDON LANE D.O.
5045 N DELMAR DR
SAND SPRINGS, OK 74063-5409
Phone number: 918-242-3903
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Mailing Address
Dr. BRANDON LANE D.O.
5045 N DELMAR DR
SAND SPRINGS, OK 74063-5409
Phone number: 918-242-3903
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