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1902982036
MICHAEL SELF
OKLAHOMA CITY, OK
NPI
1902982036
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK PA262)
Enumeration Date
2006-10-31
Last Update Date
2007-07-08
Business Address
-- MICHAEL SELF PA
921 NE 13TH ST
OKLAHOMA CITY, OK 73104-5007
Phone number: 405-270-0501
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Mailing Address
-- MICHAEL SELF PA
3913 BRIDLE PATH RD.
YUKON, OK 73099
Phone number:
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