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1669676961
KASEY LEE BRUNDIDGE
ADA, OK
NPI
1669676961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK 1618)
Enumeration Date
2007-06-12
Last Update Date
2013-10-25
Business Address
-- KASEY LEE BRUNDIDGE PA-C
1201 ARLINGTON ST STE F
ADA, OK 74820-4072
Phone number: 580-279-1788
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Mailing Address
-- KASEY LEE BRUNDIDGE PA-C
1201 ARLINGTON ST STE F
ADA, OK 74820-4072
Phone number: 580-279-1788
Copy
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