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1093930497
BRIDGEWAY, INC.
PONCA CITY, OK
NPI
1093930497
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Entity Type
Organization
Authorized Contact
STAN PAYNTER
President
580-762-1462
Organization Subpart ?
No
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2007-04-13
Last Update Date
2020-08-22
Business Address
BRIDGEWAY, INC.
620 W GRAND AVE
PONCA CITY, OK 74601-5123
Phone number: 580-762-1462
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Mailing Address
BRIDGEWAY, INC.
620 W. GRAND AVE
PONCA CITY, OK 74601
Phone number: 580-762-1462
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