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1003958091
PROVIDENCE SERVICE CORPORATION OF OKLAHOMA
DURANT, OK
NPI
1003958091
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Entity Type
Organization
Authorized Contact
BREEANN HOERNING
Ar Billing Manager
520-747-6694
Organization Subpart ?
No
Primary Taxonomy
251B00000X Case Management
Enumeration Date
2007-02-13
Last Update Date
2020-08-22
Business Address
PROVIDENCE SERVICE CORPORATION OF OKLAHOMA
134 N 12TH AVE
DURANT, OK 74701-4718
Phone number: 580-924-6363
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Mailing Address
PROVIDENCE SERVICE CORPORATION OF OKLAHOMA
620 N CRAYCROFT RD
TUCSON, AZ 85711-1448
Phone number: 520-747-6694
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