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1588222525
ADVANCED HEALTH & WELLNESS LLC
BROKEN ARROW, OK
NPI
1588222525
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Entity Type
Organization
Authorized Contact
PATSY J WISEMAN
Provider
918-261-4439
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
Enumeration Date
2019-06-04
Last Update Date
2019-06-04
Business Address
ADVANCED HEALTH & WELLNESS LLC
1252 E QUINCY ST
BROKEN ARROW, OK 74012-5637
Phone number: 918-261-4439
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Mailing Address
ADVANCED HEALTH & WELLNESS LLC
1252 E QUINCY ST
BROKEN ARROW, OK 74012-5637
Phone number: 918-261-4439
Copy
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