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1790747426
PATRICK RUSSELL GANNON
MCALESTER, OK
NPI
1790747426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: OK 20652)
Enumeration Date
2006-04-06
Last Update Date
2018-01-29
Business Address
-- PATRICK RUSSELL GANNON MD
1 E CLARK BASS BLVD SUITE 210
MCALESTER, OK 74501-4209
Phone number: 918-421-6987
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Mailing Address
-- PATRICK RUSSELL GANNON MD
1245 S UTICA AVE FL 2
TULSA, OK 74104-4214
Phone number: 918-579-2300
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