SOUTHERN OKLAHOMA LIFESTYLES AND PREVENTATIVE MEDICINE

ARDMORE, OK
NPI1538673256
Doing Business AsPARADIGM HORMONES
Entity TypeOrganization
Authorized ContactNIKKI BUSELLATO
Ins. Credentialing
405-703-3614
Organization Subpart ?Yes
Primary Taxonomy2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
Enumeration Date2017-11-17
Last Update Date2017-11-17
Business Address
SOUTHERN OKLAHOMA LIFESTYLES AND PREVENTATIVE MEDICINE
731 12TH AVE NW STE 201
ARDMORE, OK 73401-5764
Phone number: 405-703-3614
Mailing Address
SOUTHERN OKLAHOMA LIFESTYLES AND PREVENTATIVE MEDICINE
1301 S I 35 SERVICE RD STE 106
MOORE, OK 73160-3187
Phone number: 405-703-3614