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Tony Wise, PASTOR
NPI 1265779920 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1201 Ne 68th St
Oklahoma City, OK 73111 - Phone
- (405) 639-7561
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 101Y00000X
- Sex
- Male
- Record last updated
- 2013-01-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma