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DAVID DEERE

>> Public Health or Welfare >> Agencies

Registrant NPI Number: 1467856153

Individual Registrant:
 DAVID  DEERE 
Gender: M
Sole Proprietor

Location and contact information for practice:
17713 S SANTE FE PL  MOUNDS, OK 74047 US
Tel: 918-935-1214  Fax: --

Contact information for business:
PO BOX 723  GLENPOOL, OK 74033-0723 US
Tel: 918-935-1214  Fax: --

Registration Information:
NPI: 1467856153
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251K00000XAgencies
Public Health or Welfare

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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