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Individual

KYLE RANDALL LANGFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1651 PROFESSIONAL CIR, YUKON, OK 73099-6314
(405) 350-6770
Mailing address
110 NW 10TH ST APT 101, OKLAHOMA CITY, OK 73103-4933

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5179
OK

Other

Enumeration date
11/13/2023
Last updated
11/13/2023
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