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1700874914
GREGORY WILLIAM FAIRLIE
OKLAHOMA CITY, OK
NPI
1700874914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 3850)
Enumeration Date
2005-10-11
Last Update Date
2007-07-08
Business Address
Dr. GREGORY WILLIAM FAIRLIE D.O.
13420 N PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73120-9007
Phone number: 405-478-0633
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Mailing Address
Dr. GREGORY WILLIAM FAIRLIE D.O.
3555 NW 58TH ST SUITE 900
OKLAHOMA CITY, OK 73112-4707
Phone number: 405-917-0418
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