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1912006594
NIKKO J VANDERBURG
MUSKOGEE, OK
NPI
1912006594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 053123-1)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
Dr. NIKKO J VANDERBURG D.D.S.
1011 HONOR HEIGHTS DR
MUSKOGEE, OK 74401-1318
Phone number: 918-680-3781
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Mailing Address
Dr. NIKKO J VANDERBURG D.D.S.
3313 BALTIMORE AVE
MUSKOGEE, OK 74403-5939
Phone number: 405-630-8215
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