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1679936348
BRYCE RUDEK
TAHLEQUAH, OK
NPI
1679936348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: TX AT4225)
Enumeration Date
2016-03-31
Last Update Date
2016-03-31
Business Address
-- BRYCE RUDEK ATC
591 PENDLETON ST
TAHLEQUAH, OK 74464-2271
Phone number: 918-458-4154
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Mailing Address
-- BRYCE RUDEK ATC
1390 N HERITAGE LN APT 25
TAHLEQUAH, OK 74464-2136
Phone number: 580-512-5506
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