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1609833078
MARK R. GILLEN
TULSA, OK
NPI
1609833078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 1178)
Enumeration Date
2006-04-28
Last Update Date
2013-08-05
Business Address
-- MARK R. GILLEN PA
6160 S YALE AVE
TULSA, OK 74136-1930
Phone number: 918-495-2600
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Mailing Address
-- MARK R. GILLEN PA
6600 S YALE AVE SUITE 1400
TULSA, OK 74136-3347
Phone number: 918-488-6001
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