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1790788586
MICHAEL D JOHN
EDMOND, OK
NPI
1790788586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: OK 15126)
Enumeration Date
2005-05-24
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL D JOHN MD
620 W 15TH ST
EDMOND, OK 73013-3617
Phone number: 405-359-0551
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Mailing Address
Dr. MICHAEL D JOHN MD
620 W 15TH ST
EDMOND, OK 73013-3617
Phone number: 405-359-0551
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