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1730181579
CASEY GLENN FISHBURN
MUSKOGEE, OK
NPI
1730181579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KS 4411)
Enumeration Date
2005-08-11
Last Update Date
2007-07-08
Business Address
Dr. CASEY GLENN FISHBURN D.M.D.
2205 CHANDLER RD
MUSKOGEE, OK 74403-4626
Phone number: 918-683-2291
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Mailing Address
Dr. CASEY GLENN FISHBURN D.M.D.
2601 HADDOCK DR
MUSKOGEE, OK 74401-2903
Phone number: 918-682-5158
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