| NPI | 1366419871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK VIRDEN Superintendent 580-298-5504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 251K00000X) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2020-08-22 |