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1518204056
DUSTIN WILLIAM TIMS
EDMOND, OK
NPI
1518204056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OK 2226)
Enumeration Date
2013-01-03
Last Update Date
2020-11-27
Business Address
Mr. DUSTIN WILLIAM TIMS PA-C
1257 E 33RD ST
EDMOND, OK 73013-6307
Phone number: 405-757-2430
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Mailing Address
Mr. DUSTIN WILLIAM TIMS PA-C
1257 E 33RD ST
EDMOND, OK 73013-6307
Phone number: 405-757-2430
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