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1316577679
IGNITE MEDICAL RESORT OKC, LLC
OKLAHOMA CITY, OK
NPI
1316577679
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Entity Type
Organization
Authorized Contact
JARET GLAZER
Attorney
847-324-7993
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2020-01-24
Last Update Date
2020-09-04
Business Address
IGNITE MEDICAL RESORT OKC, LLC
6312 N PORTLAND AVE
OKLAHOMA CITY, OK 73112-1463
Phone number: 405-946-6932
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Mailing Address
IGNITE MEDICAL RESORT OKC, LLC
1550 N NORTHWEST HWY STE 430
PARK RIDGE, IL 60068-1411
Phone number:
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