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1689459208
SAMUEL DISKERUD
OWASSO, OK
NPI
1689459208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: OK 4565)
Enumeration Date
2023-08-30
Last Update Date
2023-08-30
Business Address
Dr. SAMUEL DISKERUD
425 E 22ND ST STE 102
OWASSO, OK 74055-4492
Phone number: 918-376-4117
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Mailing Address
Dr. SAMUEL DISKERUD
425 E 22ND ST STE 102
OWASSO, OK 74055-4492
Phone number: 918-376-4117
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