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1346004108
EDISON REVOLUTION, LLC
JENKS, OK
NPI
1346004108
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Entity Type
Organization
Authorized Contact
GLENN EDDLEMAN
Member
918-808-1802
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
EDISON REVOLUTION, LLC
100 S RIVERFRONT DR STE 400
JENKS, OK 74037-5691
Phone number: 800-967-2077
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Mailing Address
EDISON REVOLUTION, LLC
100 S RIVERFRONT DR STE 400
JENKS, OK 74037-5691
Phone number:
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