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1679745418
LEE THEODORE BOTTEM
BROKEN ARROW, OK
NPI
1679745418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: OK 4175)
Enumeration Date
2008-04-01
Last Update Date
2019-09-06
Business Address
LEE THEODORE BOTTEM D.O.
4700 W URBANA ST
BROKEN ARROW, OK 74012-5997
Phone number: 918-290-2300
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Mailing Address
LEE THEODORE BOTTEM D.O.
4700 W URBANA ST
BROKEN ARROW, OK 74012-5997
Phone number: 918-290-2300
Copy
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