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1851402606
CHARLES DEWAYNE POOR
OKLAHOMA CITY, OK
NPI
1851402606
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: OK LP 24)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
-- CHARLES DEWAYNE POOR CCP
3601 N MAY AVE SUITE C
OKLAHOMA CITY, OK 73112-6641
Phone number: 405-604-5613
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Mailing Address
-- CHARLES DEWAYNE POOR CCP
3601 N MAY AVE SUITE C
OKLAHOMA CITY, OK 73112-6641
Phone number: 405-604-5613
Copy
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