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DAVID DEERE
>> Public Health or Welfare >> AgenciesRegistrant NPI Number: 1467856153
Individual Registrant: DAVID DEERE
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
17713 S SANTE FE PL MOUNDS, OK 74047 US
Tel: 918-935-1214 Fax: --
Tel: 918-935-1214 Fax: --
Contact information for business:
PO BOX 723 GLENPOOL, OK 74033-0723 US
Tel: 918-935-1214 Fax: --
Tel: 918-935-1214 Fax: --
Registration Information:
NPI: 1467856153
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 251K00000X | Agencies Public Health or Welfare |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
