AMY POLGE

OWASSO, OK
NPI1710264361
Doing Business AsOU PSYCHIATRY CLINIC
Entity TypeOrganization
Authorized ContactONDRIA GLEASON
Director
918-660-3511
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: OK  2653)
Enumeration Date2011-11-10
Last Update Date2011-11-28
Business Address
AMY POLGE
15007 E 88TH ST N
OWASSO, OK 74055-4863
Phone number: 918-638-0302
Mailing Address
AMY POLGE
15007 E 88TH ST. N
OWASSO, OK 74055
Phone number: 918-638-0302