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1710611884
DEREK KABASAWA
OKLAHOMA CITY, OK
NPI
1710611884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 4813)
Enumeration Date
2022-07-13
Last Update Date
2022-10-10
Business Address
DEREK KABASAWA PA-C
13821 TECHNOLOGY DR STE B
OKLAHOMA CITY, OK 73134-1046
Phone number: 405-451-3454
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Mailing Address
DEREK KABASAWA PA-C
13821 TECHNOLOGY DR STE B
OKLAHOMA CITY, OK 73134-1046
Phone number: 405-451-3454
Copy
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