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1720204761
AVALON PARK PEDIATRICS
TULSA, OK
NPI
1720204761
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Entity Type
Organization
Authorized Contact
DAVID BRIAN RALEY
Owner
918-398-7170
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OK 20582)
Enumeration Date
2007-04-18
Last Update Date
2020-08-22
Business Address
AVALON PARK PEDIATRICS
6528 E 101ST ST SUITE D-1, PMB 419
TULSA, OK 74133-6724
Phone number: 918-398-7170
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Mailing Address
AVALON PARK PEDIATRICS
7779 EAST 106TH STREET
TULSA, OK 74133-6844
Phone number: 918-398-7170
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