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1689077612
PHYLLIS R DESHAZO
OKLAHOMA CITY, OK
NPI
1689077612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
(Licence: OK 466)
Enumeration Date
2014-10-05
Last Update Date
2014-10-05
Business Address
Mrs. PHYLLIS R DESHAZO REEGT, CNIM
409 E CALIFORNIA AVE
OKLAHOMA CITY, OK 73104-4224
Phone number: 405-841-7826
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Mailing Address
Mrs. PHYLLIS R DESHAZO REEGT, CNIM
409 E CALIFORNIA AVE
OKLAHOMA CITY, OK 73104-4224
Phone number: 405-841-7826
Copy
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