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1841306057
RUSTY WADE SULLINS
OKLAHOMA CITY, OK
NPI
1841306057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: OK 5243)
Enumeration Date
2006-08-21
Last Update Date
2008-06-16
Business Address
DR. RUSTY WADE SULLINS DDS
4208 COLETTA DR
OKLAHOMA CITY, OK 73120-8317
Phone number: 405-751-9222
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Mailing Address
DR. RUSTY WADE SULLINS DDS
4208 COLETTA DR
OKLAHOMA CITY, OK 73120-8317
Phone number: 405-751-9222
Copy
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