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1881893436
PAUL GUY HAGOOD
PONCA CITY, OK
NPI
1881893436
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Entity Type
Organization
Authorized Contact
PAUL GUY HAGOOD
Owner
580-765-1969
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
(Licence: OK 18856)
Enumeration Date
2007-07-13
Last Update Date
2009-05-06
Business Address
PAUL GUY HAGOOD
1908 N 14TH ST 201
PONCA CITY, OK 74601-2014
Phone number: 580-765-1969
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Mailing Address
PAUL GUY HAGOOD
1908 N. 14TH ST. 201
PONCA CITY, OK 74601-2039
Phone number: 580-765-1969
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