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1700254661
LEE BOTTEM DO PLC
MUSKOGEE, OK
NPI
1700254661
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Entity Type
Organization
Authorized Contact
AISHA D HAIR
Practice Manager
918-994-4104
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: OK 4175)
Enumeration Date
2015-09-09
Last Update Date
2015-09-09
Business Address
LEE BOTTEM DO PLC
3131 MILITARY BLVD
MUSKOGEE, OK 74401-2290
Phone number: 918-994-4104
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Mailing Address
LEE BOTTEM DO PLC
3920 E 91ST ST
TULSA, OK 74137-3602
Phone number: 918-994-4104
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