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1003227414
DEER CREEK FAMILY HEALTHCARE AND WELLNESS CLINIC LLC
EDMOND, OK
NPI
1003227414
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Entity Type
Organization
Authorized Contact
KIM KNOX
Nurse Practitioner / Owner
405-812-8208
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2014-05-20
Last Update Date
2014-06-27
Business Address
DEER CREEK FAMILY HEALTHCARE AND WELLNESS CLINIC LLC
19401 N. PORTLAND
EDMOND, OK 73012
Phone number: 405-812-8208
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Mailing Address
DEER CREEK FAMILY HEALTHCARE AND WELLNESS CLINIC LLC
19401 N. PORTLAND
EDMOND, OK 73012
Phone number: 405-812-8208
Copy
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