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1013473560
MODERN MINDCARE PLLC
EDMOND, OK
NPI
1013473560
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Entity Type
Organization
Authorized Contact
SHYVONNE GRAY
Owner
405-633-2496
Organization Subpart ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
Enumeration Date
2019-02-20
Last Update Date
2019-02-20
Business Address
MODERN MINDCARE PLLC
1985 W 33RD ST
EDMOND, OK 73013-3875
Phone number: 405-633-2496
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Mailing Address
MODERN MINDCARE PLLC
1985 W 33RD ST
EDMOND, OK 73013-3875
Phone number: 405-633-2496
Copy
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