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1790155562
CALDWELL MEDICAL GROUP OF NORTH TULSA LLC
TULSA, OK
NPI
1790155562
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Entity Type
Organization
Authorized Contact
KAMMIE CALDWELL
Sole Member
918-485-0291
Organization Subpart ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2015-10-05
Last Update Date
2015-11-05
Business Address
CALDWELL MEDICAL GROUP OF NORTH TULSA LLC
8014 S 101ST EAST AVE
TULSA, OK 74133-4579
Phone number: 918-949-9910
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Mailing Address
CALDWELL MEDICAL GROUP OF NORTH TULSA LLC
8014 S 101ST EAST AVE
TULSA, OK 74133-4579
Phone number: 918-949-9910
Copy
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