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1821008046
JAMES WILLIAM STALLCUP
TAHLEQUAH, OK
NPI
1821008046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 27612)
Enumeration Date
2006-08-09
Last Update Date
2020-03-12
Business Address
JAMES WILLIAM STALLCUP MD
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-457-6928
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Mailing Address
JAMES WILLIAM STALLCUP MD
PO BOX 1635
TAHLEQUAH, OK 74465-1635
Phone number:
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