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1326393554
PENNINGTON CREEK LIFEHOUSE
TULSA, OK
NPI
1326393554
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Entity Type
Organization
Authorized Contact
OREON ODELL LEBLANC
Rehabilitation Specialist
918-815-1371
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2012-07-13
Last Update Date
2012-07-13
Business Address
PENNINGTON CREEK LIFEHOUSE
130 N GREENWOOD AVE STE 200
TULSA, OK 74120-1409
Phone number: 539-664-4621
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Mailing Address
PENNINGTON CREEK LIFEHOUSE
11644 N 103RD EAST AVE
COLLINSVILLE, OK 74021-4821
Phone number: 918-815-1371
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