CLINIC AT 410 PLLC

KINGSTON, OK
NPI1144065012
Entity TypeOrganization
Authorized ContactTRESSA ANTIONETTE MATCHEN
Fnp Bc
580-565-9975
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2024-07-01
Last Update Date2024-09-05
Business Address
CLINIC AT 410 PLLC
410 HWY 70
KINGSTON, OK 73439
Phone number: 580-565-9975
Mailing Address
CLINIC AT 410 PLLC
PO BOX 1118
KINGSTON, OK 73439-1118
Phone number: 580-565-9975
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