CONVALESCE

MOORE, OK
NPI1639524994
Entity TypeOrganization
Authorized ContactCHRISTIANE LANGE
Clinical Director
405-430-8917
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: OK  5734)
Enumeration Date2016-04-25
Last Update Date2016-04-25
Business Address
CONVALESCE
626 N BROADWAY ST
MOORE, OK 73160-4814
Phone number: 405-430-8917
Mailing Address
CONVALESCE
626 N BROADWAY ST
MOORE, OK 73160-4814
Phone number:
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