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1548750839
UNDERAMASK PLLC
SKIATOOK, OK
NPI
1548750839
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Entity Type
Organization
Authorized Contact
CHLOEE PSHIGODA
Csfa
918-808-0583
Organization Subpart ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2018-05-13
Last Update Date
2018-06-12
Business Address
UNDERAMASK PLLC
8409 SUMMIT AVE
SKIATOOK, OK 74070
Phone number: 918-808-0583
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Mailing Address
UNDERAMASK PLLC
8409 SUMMIT AVE
SKIATOOK, OK 74070-5540
Phone number: 918-808-0583
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