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1790954956
MARC BRENT PATRICK
IDABEL, OK
NPI
1790954956
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OK 5579)
Enumeration Date
2008-02-21
Last Update Date
2008-02-21
Business Address
Dr. MARC BRENT PATRICK DDS
1210 E WASHINGTON
IDABEL, OK 74745
Phone number: 580-286-4444
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Mailing Address
Dr. MARC BRENT PATRICK DDS
1210 E WASHINGTON
IDABEL, OK 74745
Phone number: 580-286-4444
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