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OKLAHOMA CITY, OK
NPI1316656002
Entity TypeOrganization
Authorized ContactEBONY COLEMAN
Owner
405-602-9395
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2022-11-21
Last Update Date2022-11-21
Business Address
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6800 N WESTERN AVE # 3087
OKLAHOMA CITY, OK 73116-7214
Phone number: 405-602-9395
Mailing Address
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6800 N WESTERN AVE # 3087
OKLAHOMA CITY, OK 73116-7214
Phone number: