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1932118304
CHARLES TONY LEVERIDGE
OKLAHOMA CITY, OK
NPI
1932118304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OK 13166)
Enumeration Date
2006-08-05
Last Update Date
2007-07-08
Business Address
-- CHARLES TONY LEVERIDGE MD
4140 W MEMORIAL #413
OKLAHOMA CITY, OK 73120
Phone number: 405-755-2230
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Mailing Address
-- CHARLES TONY LEVERIDGE MD
4140 W MEMORIAL #413
OKLAHOMA CITY, OK 73120
Phone number: 405-755-2230
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