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1023398062
YOUTHCARE OF OKLAHOMA
ELK CITY, OK
NPI
1023398062
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Entity Type
Organization
Authorized Contact
BRANDI HAMILTON
Psrs
580-225-4133
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2011-08-22
Last Update Date
2011-09-12
Business Address
YOUTHCARE OF OKLAHOMA
11297 N 1976 RD
ELK CITY, OK 73644-6002
Phone number: 580-225-4133
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Mailing Address
YOUTHCARE OF OKLAHOMA
11297 N 1976 RD
ELK CITY, OK 73644-6002
Phone number: 580-225-4133
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