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Doctors / OK
FAMILY PRACTICE
Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2024
NPI: 1538882436
PO BOX, SUITE 1577
DURANT, OK 74702
1 CHOCTAW WAY
TALIHINA, OK 745712022
Source: CMS National Downloadable File, September 2026.