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1154489540
CMS OUTPATIENT CLINIC INC.
ADA, OK
NPI
1154489540
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Entity Type
Organization
Authorized Contact
MICHAEL R, STAFFORD
Physician
580-310-0015
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-12-05
Last Update Date
2009-08-17
Business Address
CMS OUTPATIENT CLINIC INC.
201 N MONTE VISTA ST SUITE C
ADA, OK 74820-7220
Phone number: 580-310-0015
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Mailing Address
CMS OUTPATIENT CLINIC INC.
201 N MONTE VISTA ST SUITE C
ADA, OK 74820-7220
Phone number: 580-310-0015
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