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1669405437
NEW TRADITION CLINIC LLC
BROKEN ARROW, OK
NPI
1669405437
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Entity Type
Organization
Authorized Contact
MARIAH HELEN LEE
Owner
918-806-6461
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2006-07-07
Last Update Date
2010-11-16
Business Address
NEW TRADITION CLINIC LLC
2021 S ELM PL
BROKEN ARROW, OK 74012-7031
Phone number: 918-806-6461
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Mailing Address
NEW TRADITION CLINIC LLC
2021 S ELM PL
BROKEN ARROW, OK 74012-7031
Phone number: 918-806-6461
Copy
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