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1639197189
STACY LYNN REVELS
CHICKASHA, OK
NPI
1639197189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: OK 5709)
Enumeration Date
2006-07-17
Last Update Date
2007-07-08
Business Address
DR. STACY LYNN REVELS D.D.S
720 W GRAND AVE
CHICKASHA, OK 73018-5743
Phone number: 405-224-1311
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Mailing Address
DR. STACY LYNN REVELS D.D.S
720 W GRAND AVE
CHICKASHA, OK 73018-5743
Phone number: 405-224-1311
Copy
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