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1619560984
LARRY RAY TEVEBAUGH
OKLAHOMA CITY, OK
NPI
1619560984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse General Practice
(Licence: OK R0094181)
Enumeration Date
2021-02-17
Last Update Date
2021-02-26
Business Address
LARRY RAY TEVEBAUGH NURSE PRACTITIONER
6600 NW 134TH ST
OKLAHOMA CITY, OK 73142-5909
Phone number: 405-830-5574
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Mailing Address
LARRY RAY TEVEBAUGH NURSE PRACTITIONER
6600 NW 134TH ST
OKLAHOMA CITY, OK 73142-5909
Phone number: 405-830-5574
Copy
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