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1922148345
GEORGE ROBERT BALLEW
BROKEN ARROW, OK
NPI
1922148345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: OK 4805)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
DR. GEORGE ROBERT BALLEW DDS
110 N 1ST ST
BROKEN ARROW, OK 74012-3945
Phone number: 918-258-1547
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Mailing Address
DR. GEORGE ROBERT BALLEW DDS
110 N 1ST ST
BROKEN ARROW, OK 74012-3945
Phone number: 918-258-1547
Copy
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