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1609181288
BARACON, LLC
DURANT, OK
NPI
1609181288
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Entity Type
Organization
Authorized Contact
STAFFORD AUSTIN CONWAY
Neurologist
580-931-9250
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2010-08-08
Last Update Date
2022-07-21
Business Address
BARACON, LLC
626 BRYAN DR
DURANT, OK 74701-3462
Phone number: 580-931-9250
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Mailing Address
BARACON, LLC
626 BRYAN DR
DURANT, OK 74701-3462
Phone number: 580-931-9250
Copy
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