KETAMINE OK LLC

MOORE, OK
NPI1649738865
Entity TypeOrganization
Authorized ContactJULIE DUDLEY
Practice Manager
405-703-0937
Organization Subpart ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
Enumeration Date2019-03-06
Last Update Date2019-03-06
Business Address
KETAMINE OK LLC
1105 SW 30TH CT
MOORE, OK 73160-2887
Phone number: 405-703-0937
Mailing Address
KETAMINE OK LLC
1105 SW 30TH CT
MOORE, OK 73160-2887
Phone number: 405-703-0937
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