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1497123046
GRACEHEALTH, PLLC
EDMOND, OK
NPI
1497123046
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Entity Type
Organization
Authorized Contact
TENEY V JOHN
Medical Provider
469-230-4700
Organization Subpart ?
No
Primary Taxonomy
208M00000X Hospitalist
(Licence: OK 27754)
Enumeration Date
2015-09-11
Last Update Date
2015-09-11
Business Address
GRACEHEALTH, PLLC
18213 BODEGON RD
EDMOND, OK 73012-5905
Phone number: 469-230-4700
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Mailing Address
GRACEHEALTH, PLLC
18213 BODEGON RD
EDMOND, OK 73012-5905
Phone number: 469-230-4700
Copy
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