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1366196560
CROSSROADS FAMILY HEALTH, LLC
ARDMORE, OK
NPI
1366196560
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Entity Type
Organization
Authorized Contact
JESSI RUNYAN
Owner/Provider
580-618-5686
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
Enumeration Date
2022-02-07
Last Update Date
2023-11-19
Business Address
CROSSROADS FAMILY HEALTH, LLC
333 W MAIN ST STE 245
ARDMORE, OK 73401-6300
Phone number: 580-618-5686
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Mailing Address
CROSSROADS FAMILY HEALTH, LLC
333 W MAIN ST STE 245
ARDMORE, OK 73401-6300
Phone number: 580-618-5686
Copy
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