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1629842000
WESTERN OKLAHOMA WELLNESS LLC
ELK CITY, OK
NPI
1629842000
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Entity Type
Organization
Authorized Contact
CHARITY BRADSHAW
Managing Member
505-610-4001
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2023-11-07
Last Update Date
2023-11-07
Business Address
WESTERN OKLAHOMA WELLNESS LLC
1710 W 3RD ST STE 101
ELK CITY, OK 73644-5160
Phone number: 580-225-8600
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Mailing Address
WESTERN OKLAHOMA WELLNESS LLC
1406 WALTERS WAY
ELK CITY, OK 73644-2422
Phone number: 505-610-4001
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