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1730560699
PREMIER PEDIATRIC AND ADOLESCENT CARE
MUSKOGEE, OK
NPI
1730560699
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Entity Type
Organization
Authorized Contact
TRACY HOOS
Owner
918-816-4024
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2015-06-16
Last Update Date
2015-06-16
Business Address
PREMIER PEDIATRIC AND ADOLESCENT CARE
2009 N MAIN ST
MUSKOGEE, OK 74401
Phone number: 918-816-4024
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Mailing Address
PREMIER PEDIATRIC AND ADOLESCENT CARE
2009 N MAIN ST
MUSKOGEE, OK 74401
Phone number: 918-816-4024
Copy
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