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1639643166
BRACK ALLEN GUTHRIE
WETUMKA, OK
NPI
1639643166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 64624)
Enumeration Date
2019-01-17
Last Update Date
2023-09-20
Business Address
Mr. BRACK ALLEN GUTHRIE APRN
109 S MAIN ST
WETUMKA, OK 74883-4015
Phone number: 405-452-5400
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Mailing Address
Mr. BRACK ALLEN GUTHRIE APRN
109 S MAIN ST
WETUMKA, OK 74883-4015
Phone number: 405-452-5400
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