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1326631862
SUPREME HEALTHCARE PLLC
TULSA, OK
NPI
1326631862
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Entity Type
Organization
Authorized Contact
KANDY KAY KEENEY
Manager
918-845-5498
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2021-02-16
Last Update Date
2021-12-15
Business Address
SUPREME HEALTHCARE PLLC
4619 S HARVARD AVE STE 100
TULSA, OK 74135-2921
Phone number: 918-619-9441
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Mailing Address
SUPREME HEALTHCARE PLLC
9521 RIVERSIDE PKWY STE B
TULSA, OK 74137-7422
Phone number: 918-845-5498
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