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1124317680
I.D.
OKLAHOMA CITY, OK
NPI
1124317680
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Entity Type
Organization
Authorized Contact
KEITH COMBS
CEO
405-243-4252
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2011-04-05
Last Update Date
2011-04-05
Business Address
I.D.
1330 N CLASSEN BLVD SUITE 313
OKLAHOMA CITY, OK 73106-6835
Phone number: 405-243-4252
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Mailing Address
I.D.
1330 N CLASSEN BLVD SUITE 313
OKLAHOMA CITY, OK 73106-6835
Phone number: 405-243-4252
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