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1649262270
DIANA L DEFELICE
OWASSO, OK
NPI
1649262270
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 2160)
Enumeration Date
2005-08-19
Last Update Date
2015-10-06
Business Address
-- DIANA L DEFELICE DO
13616 E 103RD ST N STE A
OWASSO, OK 74055-4586
Phone number: 918-274-8555
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Mailing Address
-- DIANA L DEFELICE DO
1717S UTICA AVE A
TULSA, OK 74104-5346
Phone number: 918-748-1300
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