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Individual

DR. VIANMAR G. PASCUAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1515 NE LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 353-0350
Mailing address
1515 LAWRIE TATUM RD, LAWTON, OK 73507-3002
(580) 353-0350

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101023020
VA

Other

Enumeration date
06/23/2005
Last updated
02/25/2008
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