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1508095977
KYLE C WOODERSON
GROVE, OK
NPI
1508095977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: OK 4824)
Enumeration Date
2009-07-07
Last Update Date
2017-04-05
Business Address
Dr. KYLE C WOODERSON D.O.
601 E 13TH ST STE H
GROVE, OK 74344-2989
Phone number: 918-786-7300
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Mailing Address
Dr. KYLE C WOODERSON D.O.
5300 N INDEPENDENCE AVE 280
OKLAHOMA CITY, OK 73112-5556
Phone number: 918-786-7300
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