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1821060849
MARK LEE WELLS
EDMOND, OK
NPI
1821060849
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 1099)
Enumeration Date
2006-02-03
Last Update Date
2024-02-17
Business Address
Mr. MARK LEE WELLS PA
3224 S BROADWAY STE 112
EDMOND, OK 73013-4069
Phone number: 405-427-4945
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Mailing Address
Mr. MARK LEE WELLS PA
1605 REDBUD HOLW
EDMOND, OK 73034-9719
Phone number: 405-206-5824
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