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1598414062
DOUGLAS WADE OWEN
TULSA, OK
NPI
1598414062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-22
Last Update Date
2022-03-28
Business Address
DOUGLAS WADE OWEN
744 W 9TH ST
TULSA, OK 74127-9907
Phone number: 918-599-1000
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Mailing Address
DOUGLAS WADE OWEN
11908 E 99TH ST N
OWASSO, OK 74055-2660
Phone number: 918-408-9713
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