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1588000228
BLYTHEVILLE RT ASSOCIATES LLC
BLYTHEVILLE, AR
NPI
1588000228
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Entity Type
Organization
Authorized Contact
DEREK M PRENTICE
Managing Member
405-418-2200
Organization Subpart ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
Enumeration Date
2013-05-21
Last Update Date
2013-05-21
Business Address
BLYTHEVILLE RT ASSOCIATES LLC
1522 N DIVISION ST
BLYTHEVILLE, AR 72315-1448
Phone number: 870-762-1400
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Mailing Address
BLYTHEVILLE RT ASSOCIATES LLC
11101 HEFNER POINTE DR STE 209
OKLAHOMA CITY, OK 73120-5054
Phone number: 405-418-2900
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