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1740514306
AMANDA RUTH GORDEN GREEN
OCHELATA, OK
NPI
1740514306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 4906)
Enumeration Date
2009-09-29
Last Update Date
2022-05-04
Business Address
Dr. AMANDA RUTH GORDEN GREEN D.O.
395200 W 2900 RD
OCHELATA, OK 74051-2463
Phone number: 918-535-6000
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Mailing Address
Dr. AMANDA RUTH GORDEN GREEN D.O.
395200 W 2900 RD
OCHELATA, OK 74051-2463
Phone number: 918-535-6000
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