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1124628656
CHERRY STREET PAIN CLINIC LLC
TULSA, OK
NPI
1124628656
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Entity Type
Organization
Authorized Contact
VERNON CURTIS SMITH
O Wner
918-836-6454
Organization Subpart ?
No
Primary Taxonomy
261QP3300X Clinic/Center, Pain
Enumeration Date
2020-10-26
Last Update Date
2020-10-26
Business Address
CHERRY STREET PAIN CLINIC LLC
1810 E 15TH ST STE B
TULSA, OK 74104-4611
Phone number: 918-836-6454
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Mailing Address
CHERRY STREET PAIN CLINIC LLC
1810 E 15TH ST STE B
TULSA, OK 74104-4611
Phone number: 918-836-6454
Copy
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