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1588652929
GREGORY PAUL DISALVATORE
OWASSO, OK
NPI
1588652929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 3457)
Enumeration Date
2005-10-10
Last Update Date
2014-05-05
Business Address
Dr. GREGORY PAUL DISALVATORE DO
10502 N 110TH EAST AVE
OWASSO, OK 74055-6655
Phone number: 918-376-8190
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Mailing Address
Dr. GREGORY PAUL DISALVATORE DO
1145 S. UTICA AVE. STE. 110
TULSA, OK 74104-4013
Phone number: 918-579-3825
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