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1871937847
CHARLES A JANTZEN
ENID, OK
NPI
1871937847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 5574)
Enumeration Date
2013-04-22
Last Update Date
2017-10-06
Business Address
CHARLES A JANTZEN DO
915 E GARRIOTT RD SUITE A
ENID, OK 73701-6156
Phone number: 580-977-1910
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Mailing Address
CHARLES A JANTZEN DO
5300 N INDEPENDENCE AVE 280
OKLAHOMA CITY, OK 73112-5556
Phone number: 580-977-1910
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