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Van Grooms

NPI 1346547916 · on the registry since 2011 · sole proprietor

Practice

Address
208 W 10th Ave
Stillwater, OK 74074
Phone
(405) 372-0508
Fax
(405) 372-0693

Registry record

Primary taxonomy
Contractor
171W00000X
Sex
Male
Record last updated
2011-02-17

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