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1992193676
SAMUEL ISAAC BETHEA
CLAREMORE, OK
NPI
1992193676
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 2431)
Enumeration Date
2015-01-02
Last Update Date
2022-02-23
Business Address
SAMUEL ISAAC BETHEA PA-C
1071 W BLUE STARR DR STE 105
CLAREMORE, OK 74017-2869
Phone number: 918-361-0600
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Mailing Address
SAMUEL ISAAC BETHEA PA-C
2488 E 81ST ST STE 290
TULSA, OK 74137-4265
Phone number: 918-927-3226
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