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Individual

DR. GARY JOE LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
101 S MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6392
Mailing address
101 S MOORE AVE, CLAREMORE, OK 74017-5047

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2538
OK

Other

Enumeration date
12/29/2005
Last updated
07/08/2007
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