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1699761981
LARRY DEAN SUMNER
TAHLEQUAH, OK
NPI
1699761981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
(Licence: OK 14708)
Enumeration Date
2005-09-22
Last Update Date
2015-05-12
Business Address
Dr. LARRY DEAN SUMNER m.d.
204 WOODLAWN AVE
TAHLEQUAH, OK 74464-3318
Phone number: 918-456-8000
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Mailing Address
Dr. LARRY DEAN SUMNER m.d.
204 WOODLAWN AVE
TAHLEQUAH, OK 74464-3318
Phone number: 918-456-8000
Copy
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