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1750457966
KENNETH R TRINIDAD
TULSA, OK
NPI
1750457966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OK 2120)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
-- KENNETH R TRINIDAD D.O.
1006 W 23RD ST
TULSA, OK 74107-2820
Phone number: 918-742-4881
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Mailing Address
-- KENNETH R TRINIDAD D.O.
1006 W 23RD ST
TULSA, OK 74107-2820
Phone number: 918-742-4881
Copy
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