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1316997992
EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC.
PONCA CITY, OK
NPI
1316997992
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Entity Type
Organization
Authorized Contact
MISTY DANIELS
Executive Director
580-762-7561
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2006-05-12
Last Update Date
2012-10-08
Business Address
EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC.
1500 N 6TH ST
PONCA CITY, OK 74601-2827
Phone number: 580-762-7561
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Mailing Address
EDWIN FAIR COMMUNITY MENTAL HEALTH CENTER, INC.
1500 NORTH 6TH STREET
PONCA CITY, OK 74601-2827
Phone number: 580-762-7561
Copy
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