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1013433028
PREMIUM ENTERPRISES INC
MUSTANG, OK
NPI
1013433028
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Entity Type
Organization
Authorized Contact
MUHAMMAD GHIAS
Owner
855-541-2862
Organization Subpart ?
No
Primary Taxonomy
208M00000X Hospitalist
(Licence: OK 22910)
Enumeration Date
2017-08-22
Last Update Date
2017-08-22
Business Address
PREMIUM ENTERPRISES INC
1104 E STATE HIGHWAY 152 UNIT 1
MUSTANG, OK 73064-5116
Phone number: 855-541-2862
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Mailing Address
PREMIUM ENTERPRISES INC
15509 JUNIPER DR
EDMOND, OK 73013-8841
Phone number: 855-541-2862
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