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1871630137
TED KASPAR
PONCA CITY, OK
NPI
1871630137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 4834)
Enumeration Date
2007-01-30
Last Update Date
2018-08-22
Business Address
TED KASPAR DO
1900 N 14TH ST
PONCA CITY, OK 74601
Phone number: 580-763-3036
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Mailing Address
TED KASPAR DO
1900 N 14TH ST
PONCA CITY, OK 74601-2035
Phone number: 580-763-3036
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