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1528254109
SOUTHERN OKLAHOMA UROLOGY, INC
ADA, OK
NPI
1528254109
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Entity Type
Organization
Authorized Contact
GLEN E DIACON
President
580-332-0112
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2007-09-18
Last Update Date
2007-09-18
Business Address
SOUTHERN OKLAHOMA UROLOGY, INC
1414 ARLINGTON ST SUITE 2300
ADA, OK 74820-2643
Phone number: 580-332-0112
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Mailing Address
SOUTHERN OKLAHOMA UROLOGY, INC
1414 ARLINGTON ST SUITE 2300
ADA, OK 74820-2643
Phone number: 580-332-0112
Copy
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