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1265755441
REGAL HEALTHCARE LLC
EDMOND, OK
NPI
1265755441
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Entity Type
Organization
Authorized Contact
ANGIE GRIMMETT
A RN P/Owner
405-341-4643
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2010-03-02
Last Update Date
2010-03-02
Business Address
REGAL HEALTHCARE LLC
1101 N. BRYANT
EDMOND, OK 73034-3251
Phone number: 405-341-4643
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Mailing Address
REGAL HEALTHCARE LLC
PO BOX 248875
OKLAHOMA CITY, OK 73124-8875
Phone number: 405-341-4643
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