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1578003992
GARY FENNEMA
TULSA, OK
NPI
1578003992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OK 6402)
Enumeration Date
2017-03-04
Last Update Date
2022-12-17
Business Address
GARY FENNEMA D.O.
744 W 9TH ST
TULSA, OK 74127-9020
Phone number: 918-599-1000
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Mailing Address
GARY FENNEMA D.O.
2622 W 112TH PL S
JENKS, OK 74037-2127
Phone number: 918-691-4601
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