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Individual

DAVID DEERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
17713 S SANTE FE PL, MOUNDS, OK 74047
(918) 935-1214
Mailing address
PO BOX 723, GLENPOOL, OK 74033-0723
(918) 935-1214

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Enumeration date
10/09/2014
Last updated
10/09/2014
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