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1790762771
MARTY VIEFHAUS
DURANT, OK
NPI
1790762771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 951)
Enumeration Date
2005-12-29
Last Update Date
2010-12-06
Business Address
-- MARTY VIEFHAUS PA-C
1600 N WASHINGTON AVE
DURANT, OK 74701-2128
Phone number: 580-920-2100
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Mailing Address
-- MARTY VIEFHAUS PA-C
1001 N COUNTRY CLUB RD
ADA, OK 74820-2847
Phone number: 580-421-4570
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