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1730177734
THEODORE ARTHUR MICKLE
OKLAHOMA CITY, OK
NPI
1730177734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 29986)
Enumeration Date
2005-10-12
Last Update Date
2010-03-25
Business Address
Dr. THEODORE ARTHUR MICKLE DO, MPH
921 NE 13TH ST VA MEDICAL CENTER
OKLAHOMA CITY, OK 73104-5007
Phone number: 405-736-2305
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Mailing Address
Dr. THEODORE ARTHUR MICKLE DO, MPH
4204 NW 143RD ST
OKLAHOMA CITY, OK 73134-1725
Phone number: 405-748-3925
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