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1952360034
MICHAEL ALLEN VANLEAR
JAY, OK
NPI
1952360034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK 151)
Enumeration Date
2006-03-20
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL ALLEN VANLEAR P.A.
659 S 14TH ST
JAY, OK 74346-3836
Phone number: 918-253-6418
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Mailing Address
Mr. MICHAEL ALLEN VANLEAR P.A.
659 S 14TH ST P. O. BOX 780
JAY, OK 74346-3836
Phone number: 918-253-6418
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