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1518955111
ROBERT MIRACLE
LAWTON, OK
NPI
1518955111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OK 5347)
Enumeration Date
2005-10-10
Last Update Date
2007-07-09
Business Address
Dr. ROBERT MIRACLE DMD
1810 NW FERRIS AVE
LAWTON, OK 73507-5625
Phone number: 580-355-1314
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Mailing Address
Dr. ROBERT MIRACLE DMD
1810 NW FERRIS AVE
LAWTON, OK 73507-5625
Phone number: 580-355-1314
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