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1154965044
COMMUNITY WELLNESS CLINIC, LLC
ROLAND, OK
NPI
1154965044
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Entity Type
Organization
Authorized Contact
NOEL SANGER
Partner
816-769-1680
Organization Subpart ?
No
Primary Taxonomy
208VP0000X Pain Medicine, Pain Medicine
Enumeration Date
2019-11-04
Last Update Date
2019-11-04
Business Address
COMMUNITY WELLNESS CLINIC, LLC
707 S ROLAND RD STE 6
ROLAND, OK 74954-5337
Phone number: 479-221-7119
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Mailing Address
COMMUNITY WELLNESS CLINIC, LLC
PO BOX 937
ROLAND, OK 74954-0937
Phone number:
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