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1174139554
CRESTCARE FAMILY MEDICINE,PLLC
BROKEN ARROW, OK
NPI
1174139554
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Entity Type
Organization
Authorized Contact
GAURANGI M ANKLESARIA
Owner
918-251-9698
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2020-09-21
Last Update Date
2020-09-21
Business Address
CRESTCARE FAMILY MEDICINE,PLLC
817 S ELM PL STE 104
BROKEN ARROW, OK 74012-5369
Phone number: 918-251-9698
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Mailing Address
CRESTCARE FAMILY MEDICINE,PLLC
817 S ELM PL STE 104
BROKEN ARROW, OK 74012-5369
Phone number: 918-251-9698
Copy
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