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1508929092
KIPPY GLYNN MARTIN
TAHLEQUAH, OK
NPI
1508929092
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: OK 75052)
Enumeration Date
2006-12-18
Last Update Date
2007-07-09
Business Address
Dr. KIPPY GLYNN MARTIN DDS
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3100
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Mailing Address
Dr. KIPPY GLYNN MARTIN DDS
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3100
Copy
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