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1851979777
THOMAS WAYNE WISEMAN
MUSTANG, OK
NPI
1851979777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 7784)
Enumeration Date
2021-03-31
Last Update Date
2024-09-10
Business Address
THOMAS WAYNE WISEMAN DO
201 S SARA RD STE 200
MUSTANG, OK 73064-4308
Phone number: 405-578-3250
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Mailing Address
THOMAS WAYNE WISEMAN DO
201 S SARA RD STE 200
MUSTANG, OK 73064-4308
Phone number: 405-578-3250
Copy
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