LIFE VISION

PONCA CITY, OK
NPI1699102640
Entity TypeOrganization
Authorized ContactTERA BIAGGI
Clinical Director
580-716-4787
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: OK  3696)
Enumeration Date2013-10-07
Last Update Date2013-10-07
Business Address
LIFE VISION
2101 N ASH ST
PONCA CITY, OK 74601-1106
Phone number: 580-716-4787
Mailing Address
LIFE VISION
11605 S Q ST
PONCA CITY, OK 74601-7565
Phone number: 580-716-4787
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