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1881891653
MUSTANG FAMILY PHYSICIANS PC
MUSTANG, OK
NPI
1881891653
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Entity Type
Organization
Authorized Contact
GERALD A AMUNDSEN
President
405-256-6000
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 20242)
Enumeration Date
2007-06-27
Last Update Date
2007-10-22
Business Address
MUSTANG FAMILY PHYSICIANS PC
206 N MUSTANG MALL TER
MUSTANG, OK 73064-5135
Phone number: 405-256-6000
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Mailing Address
MUSTANG FAMILY PHYSICIANS PC
PO BOX 268945
OKLAHOMA CITY, OK 73126-8945
Phone number: 405-256-6000
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