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Organization (NPI-2) Active

Contractor

Provider Information

NPI Number
1447632385
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
2821 POPLAR DR, MOORE, OK, 731603229
Phone
(405) 887-7625
Fax
(405) 237-1242

Specialties & Taxonomies

Contractor Primary License: OK #4131

All Addresses

LOCATION

2821 POPLAR DR

MOORE, OK, 731603229

(405) 887-7625

MAILING

2821 POPLAR DR

MOORE, OK, 731603229

(405) 887-7625