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1619504214
RUSSELL DAVIS
TULSA, OK
NPI
1619504214
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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
2020-03-24
Last Update Date
2020-03-24
Business Address
RUSSELL DAVIS DO
717 S HOUSTON AVE STE 400
TULSA, OK 74127-9007
Phone number: 918-382-4600
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Mailing Address
RUSSELL DAVIS DO
1331 E PURDUE AVE APT A
PHOENIX, AZ 85020-6233
Phone number:
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