456678LIFE GATE

TULSA, OK
NPI1215298898
Entity TypeOrganization
Authorized ContactBILL BATEMAN
Director
918-902-3770
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2012-05-31
Last Update Date2012-05-31
Business Address
456678LIFE GATE
10922 E 39TH STREET SOUTH
TULSA, OK 74146-2703
Phone number: 918-378-6912
Mailing Address
456678LIFE GATE
10922 E 39TH ST
TULSA, OK 74146-2703
Phone number: 918-378-6912
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