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1528122413
CLINT JUSTIN BASENER
TULSA, OK
NPI
1528122413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: OK 4272)
Enumeration Date
2006-12-21
Last Update Date
2021-10-26
Business Address
CLINT JUSTIN BASENER D.O
8110 S YALE AVE
TULSA, OK 74137-2210
Phone number: 918-583-4400
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Mailing Address
CLINT JUSTIN BASENER D.O
8110 S YALE AVE
TULSA, OK 74137-2210
Phone number: 918-583-4400
Copy
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