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1720070394
MICHAEL HENNEN NELSON
MUSKOGEE, OK
NPI
1720070394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: OK 926)
Enumeration Date
2005-08-18
Last Update Date
2008-06-09
Business Address
Dr. MICHAEL HENNEN NELSON O.D.
105 N YORK ST
MUSKOGEE, OK 74403-4657
Phone number: 918-682-2181
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Mailing Address
Dr. MICHAEL HENNEN NELSON O.D.
105 N YORK ST
MUSKOGEE, OK 74403-4657
Phone number: 918-682-2181
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