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1750416111
DOUGLAS GERALD FAAS
CLAREMORE, OK
NPI
1750416111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
Enumeration Date
2007-02-23
Last Update Date
2007-07-08
Business Address
Mr. DOUGLAS GERALD FAAS
25656 SO 4110 RD
CLAREMORE, OK 74019-2364
Phone number: 918-266-5521
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Mailing Address
Mr. DOUGLAS GERALD FAAS
25656 SO 4110 RD
CLAREMORE, OK 74019-2364
Phone number: 918-266-5521
Copy
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