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1982764171
OSU OWASSO
OWASSO, OK
NPI
1982764171
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Entity Type
Organization
Authorized Contact
KIM PENICK
Associate Director
918-561-8322
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2006-12-11
Last Update Date
2008-09-16
Business Address
OSU OWASSO
10512 N. 110TH E. AVE
OWASSO, OK 74055
Phone number: 918-747-5322
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Mailing Address
OSU OWASSO
10512 N. 110TH E. AVE
OWASSO, OK 74055
Phone number:
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