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1306458492
PANACEA THERAPY GROUP, LLC
EDMOND, OK
NPI
1306458492
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Entity Type
Organization
Authorized Contact
CHAD THOMAS MCCOY
Owner
405-513-0282
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-08-19
Last Update Date
2020-10-03
Business Address
PANACEA THERAPY GROUP, LLC
1015 WATERWOOD PKWY STE G-M1
EDMOND, OK 73034-5370
Phone number: 405-513-0282
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Mailing Address
PANACEA THERAPY GROUP, LLC
1015 WATERWOOD PKWY STE G-M1
EDMOND, OK 73034-5370
Phone number: 405-513-0282
Copy
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