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1851382246
BERNARD LOUIS FIORAVANTI
WAGONER, OK
NPI
1851382246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: OK 11797)
Enumeration Date
2005-11-03
Last Update Date
2012-02-21
Business Address
Dr. BERNARD LOUIS FIORAVANTI MD
1510 W 90TH ST N
WAGONER, OK 74467-8159
Phone number: 918-519-1155
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Mailing Address
Dr. BERNARD LOUIS FIORAVANTI MD
1510 W 90TH ST N
WAGONER, OK 74467-8159
Phone number: 918-686-5552
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