CASEY GLENN FISHBURN

MUSKOGEE, OK
NPI1730181579
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: KS  4411)
Enumeration Date2005-08-11
Last Update Date2007-07-08
Business Address
DR. CASEY GLENN FISHBURN D.M.D.
2205 CHANDLER RD
MUSKOGEE, OK 74403-4626
Phone number: 918-683-2291
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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