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1629217013
CHARLES MERTZ
PONCA CITY, OK
NPI
1629217013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OK 0080905)
Enumeration Date
2009-02-09
Last Update Date
2009-02-09
Business Address
-- CHARLES MERTZ RN
13 HILLCREST DR
PONCA CITY, OK 74604-4808
Phone number: 580-765-1777
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Mailing Address
-- CHARLES MERTZ RN
81 STONERIDGE RD
PONCA CITY, OK 74604-3418
Phone number: 580-762-2997
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