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1710758966
MAIN MEDICAL CLINIC LLC
TISHOMINGO, OK
NPI
1710758966
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Entity Type
Organization
Authorized Contact
SHARON MARSHALL
Owner
817-739-5848
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
Enumeration Date
2024-01-15
Last Update Date
2024-01-15
Business Address
MAIN MEDICAL CLINIC LLC
108 W MAIN ST
TISHOMINGO, OK 73460-1723
Phone number: 580-774-3548
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Mailing Address
MAIN MEDICAL CLINIC LLC
108 W MAIN ST
TISHOMINGO, OK 73460-1723
Phone number: 580-774-3548
Copy
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