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1124399233
MAYES COUNTY HMPN, LLC
PRYOR, OK
NPI
1124399233
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Entity Type
Organization
Authorized Contact
MICHAEL L GINGRAS
Vice President
239-598-3131
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2012-01-20
Last Update Date
2012-11-26
Business Address
MAYES COUNTY HMPN, LLC
1301 NE 1ST ST
PRYOR, OK 74361-8850
Phone number: 918-824-7714
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Mailing Address
MAYES COUNTY HMPN, LLC
5811 PELICAN BAY BLVD SUITE 500
NAPLES, FL 34108-2733
Phone number: 239-598-3131
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