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1770344160
TRIAD COMPLETE HEALTHCARE A11, LLC
EDMOND, OK
NPI
1770344160
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Entity Type
Organization
Authorized Contact
AMANDA BODINE
Owner/CEO
636-485-0731
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2024-01-22
Last Update Date
2024-01-22
Business Address
TRIAD COMPLETE HEALTHCARE A11, LLC
200 N BRYANT AVE STE 105
EDMOND, OK 73034-6273
Phone number: 405-300-8964
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Mailing Address
TRIAD COMPLETE HEALTHCARE A11, LLC
200 N BRYANT AVE STE 105
EDMOND, OK 73034-6273
Phone number:
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