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1700120458
HEALTHY LIFE PLLC
BROKEN ARROW, OK
NPI
1700120458
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Entity Type
Organization
Authorized Contact
ROBERTA RAU
President/Owner
918-344-9368
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 21264)
Enumeration Date
2012-11-19
Last Update Date
2012-11-19
Business Address
HEALTHY LIFE PLLC
800 W BOISE CIR SUITE 290
BROKEN ARROW, OK 74012-4906
Phone number: 918-344-9368
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Mailing Address
HEALTHY LIFE PLLC
800 W BOISE CIR SUITE 290
BROKEN ARROW, OK 74012-4906
Phone number: 918-344-9368
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