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1710128152
OSTEOPATHIC MEDICINE OF TULSA, INC.
TULSA, OK
NPI
1710128152
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Entity Type
Organization
Authorized Contact
LARRY LEE ELLIS
Physician
918-694-0684
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: OK 3803)
Enumeration Date
2009-03-16
Last Update Date
2009-05-26
Business Address
OSTEOPATHIC MEDICINE OF TULSA, INC.
6465 S YALE AVE STE 804
TULSA, OK 74136-7823
Phone number: 918-694-0684
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Mailing Address
OSTEOPATHIC MEDICINE OF TULSA, INC.
6465 S YALE AVE STE 804
TULSA, OK 74136-7823
Phone number: 918-694-0684
Copy
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