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1750638953
IMMANUEL714
EDMOND, OK
NPI
1750638953
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Entity Type
Organization
Authorized Contact
EDITH C WASHINGTON
CEO
405-286-0383
Organization Subpart ?
No
Primary Taxonomy
251S00000X Community/Behavioral Health
Enumeration Date
2012-08-07
Last Update Date
2012-08-07
Business Address
IMMANUEL714
713 NW 142ND ST
EDMOND, OK 73013-1924
Phone number: 405-286-0383
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Mailing Address
IMMANUEL714
713 NW 142ND ST
EDMOND, OK 73013-1924
Phone number: 405-286-0383
Copy
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