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1316253008
VAO SERVICE PROVIDER LLC
OKLAHOMA CITY, OK
NPI
1316253008
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Entity Type
Organization
Authorized Contact
JOHN WILSON
Executive Director
405-605-6353
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: OK AL5534)
Enumeration Date
2010-08-19
Last Update Date
2010-08-19
Business Address
VAO SERVICE PROVIDER LLC
817 SW 59TH ST
OKLAHOMA CITY, OK 73109-4807
Phone number: 405-605-6353
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Mailing Address
VAO SERVICE PROVIDER LLC
817 SW 59TH ST
OKLAHOMA CITY, OK 73109-4807
Phone number: 405-605-6353
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