JOHN P AGENT

SALLISAW, OK
NPI1649217191
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OK  3341)
Additional Taxonomies207R00000X Internal Medicine
(Licence: AR  E-1152)
Enumeration Date2006-06-01
Last Update Date2018-12-20
Business Address
Dr. JOHN P AGENT DO
1015 E CHOCTAW AVE
SALLISAW, OK 74955-5011
Phone number: 918-774-0034
Mailing Address
Dr. JOHN P AGENT DO
PO BOX 776075
CHICAGO, IL 60677-6075
Phone number: 918-774-0034
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