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1881624153
CLARK JIRO TINGLEAF
OWASSO, OK
NPI
1881624153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: OK 23509)
Enumeration Date
2006-07-03
Last Update Date
2019-09-24
Business Address
Dr. CLARK JIRO TINGLEAF M.D.
10512 N 110TH EAST AVE STE 200
OWASSO, OK 74055-6636
Phone number: 918-376-8926
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Mailing Address
Dr. CLARK JIRO TINGLEAF M.D.
10512 N 110TH EAST AVE STE 200
OWASSO, OK 74055-6636
Phone number: 918-376-8926
Copy