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1831599737
RENAISSANCE MEDICAL OF OKLAHOMA, P.C.
TULSA, OK
NPI
1831599737
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Entity Type
Organization
Authorized Contact
CHESTER L CARLSON
President
479-434-4948
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2014-08-27
Last Update Date
2014-08-27
Business Address
RENAISSANCE MEDICAL OF OKLAHOMA, P.C.
8014 SOUTH 101 EAST AVE SUITE 200
TULSA, OK 74133
Phone number: 479-434-4948
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Mailing Address
RENAISSANCE MEDICAL OF OKLAHOMA, P.C.
PO BOX 35746
TULSA, OK 74153-0746
Phone number: 479-434-4948
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