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1386040970
MHSSO
ADA, OK
NPI
1386040970
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Entity Type
Organization
Authorized Contact
AMBER MAXBERRY
Crisis Case Manger
580-320-8120
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2014-11-10
Last Update Date
2014-11-10
Business Address
MHSSO
111 E 12TH ST
ADA, OK 74820-6501
Phone number: 580-436-2690
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Mailing Address
MHSSO
2128 E SURREY LN
ADA, OK 74820-2865
Phone number: 580-320-8120
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