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1629604434
MEDWISE LLC
COWETA, OK
NPI
1629604434
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Entity Type
Organization
Authorized Contact
DENNIS SIDNEY BLACKSTAD
President
918-605-6582
Organization Subpart ?
No
Primary Taxonomy
261QU0200X Clinic/Center, Urgent Care
Enumeration Date
2020-03-13
Last Update Date
2024-10-24
Business Address
MEDWISE LLC
11495 S. STATE HIGHWAY 51
COWETA, OK 74429
Phone number: 225-936-9186
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Mailing Address
MEDWISE LLC
12902 E 51ST ST
TULSA, OK 74134-6712
Phone number: 918-605-6582
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