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1952609885
DEKODA KOLE BOST
YUKON, OK
NPI
1952609885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 5187)
Enumeration Date
2011-03-01
Last Update Date
2018-08-09
Business Address
Mr. DEKODA KOLE BOST
11900 NW EXPRESSWAY
YUKON, OK 73099
Phone number: 405-283-9300
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Mailing Address
Mr. DEKODA KOLE BOST
11900 NW EXPRESSWAY
YUKON, OK 73099-8795
Phone number: 405-283-9300
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