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Individual

MR. VANCE ERIC THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SA-C

Contact information

Practice address
10512 N 110TH EAST AVE STE 300, OWASSO, OK 74055-6638
(918) 376-8900
(918) 376-8990
Mailing address
10512 N 110TH EAST AVE STE 300, OWASSO, OK 74055-6638
(918) 376-8900
(918) 376-8990

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary

Other

Enumeration date
05/14/2008
Last updated
11/01/2013
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