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1295154581
PROVIDENCE SERVICE CORPORATION OF OKLAHOMA
IDABEL, OK
NPI
1295154581
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Entity Type
Organization
Authorized Contact
LYNNETTE RICHEY
State Director
580-924-6363
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2014-04-15
Last Update Date
2014-04-15
Business Address
PROVIDENCE SERVICE CORPORATION OF OKLAHOMA
116 SE AVE N
IDABEL, OK 74745-5234
Phone number: 580-924-6363
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Mailing Address
PROVIDENCE SERVICE CORPORATION OF OKLAHOMA
630 N CRAYCROFT RD SUITE 250
TUCSON, AZ 85711-1440
Phone number: 520-747-6600
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