CHARLES JOSEPH WINE

TAHLEQUAH, OK
NPI1740403088
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: OK  9465)
Enumeration Date2007-04-11
Last Update Date2007-07-09
Business Address
-- CHARLES JOSEPH WINE M.D.
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3360
Mailing Address
-- CHARLES JOSEPH WINE M.D.
3117 HICKORY STICK RD
OKLAHOMA CITY, OK 73120-6001
Phone number: 405-751-9274
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