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1912975962
PEGGY J WISDOM
OKLAHOMA CITY, OK
NPI
1912975962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: OK 10043)
Enumeration Date
2006-03-08
Last Update Date
2007-07-08
Business Address
-- PEGGY J WISDOM MD
711 S L YOUNG BLVD SUITE 210
OKLAHOMA CITY, OK 73104-5023
Phone number: 405-271-3635
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Mailing Address
-- PEGGY J WISDOM MD
1122 NE 13TH ST ORI236
OKLAHOMA CITY, OK 73117-1039
Phone number: 405-271-1515
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