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1518996958
JUSTIN B PLAXICO
ADA, OK
NPI
1518996958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: OK 3875)
Enumeration Date
2006-06-30
Last Update Date
2022-08-11
Business Address
Dr. JUSTIN B PLAXICO D.O.
435 N MONTE VISTA ST
ADA, OK 74820-4676
Phone number: 580-310-0102
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Mailing Address
Dr. JUSTIN B PLAXICO D.O.
435 N MONTE VISTA ST
ADA, OK 74820-4676
Phone number: 580-310-0102
Copy
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