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1912526260
MADISEN FAE DORAND
TULSA, OK
NPI
1912526260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OK 41410)
Enumeration Date
2020-04-15
Last Update Date
2024-02-13
Business Address
MADISEN FAE DORAND MD
4444 E 41ST ST
TULSA, OK 74135-2527
Phone number: 918-619-4400
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Mailing Address
MADISEN FAE DORAND MD
4502 E 41ST ST
TULSA, OK 74135-2536
Phone number: 918-660-3464
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