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1619465457
BRIAN PFENNINGER
EDMOND, OK
NPI
1619465457
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085U0001X Radiology, Diagnostic Ultrasound
(Licence: OK 146528)
Enumeration Date
2018-04-26
Last Update Date
2018-04-26
Business Address
BRIAN PFENNINGER MBA, RDCS, RDMS
2805 S BRYANT AVE STE B
EDMOND, OK 73013-6158
Phone number: 405-330-2225
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Mailing Address
BRIAN PFENNINGER MBA, RDCS, RDMS
4808 NW 159TH ST
EDMOND, OK 73013-3220
Phone number: 405-330-2225
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