BOULEVARD FAMILY CLINIC LLC

EDMOND, OK
NPI1760774814
Entity TypeOrganization
Authorized ContactT DENISE CATO
Administrator
405-470-1884
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2011-05-09
Last Update Date2011-05-09
Business Address
BOULEVARD FAMILY CLINIC LLC
3431 S BOULEVARD SUITE 109
EDMOND, OK 73013-5475
Phone number: 405-470-1884
Mailing Address
BOULEVARD FAMILY CLINIC LLC
3431 S BOULEVARD SUITE 109
EDMOND, OK 73013-5475
Phone number: 405-470-1884
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