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1770862179
ACCESS MEDICAL RIVERSIDE LLC
TULSA, OK
NPI
1770862179
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Entity Type
Organization
Authorized Contact
CANNEN R FERRELL
CEO
918-260-2093
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2011-08-16
Last Update Date
2012-03-08
Business Address
ACCESS MEDICAL RIVERSIDE LLC
7020 S UTICA AVE
TULSA, OK 74136-3907
Phone number: 918-296-7045
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Mailing Address
ACCESS MEDICAL RIVERSIDE LLC
7020 S. UTICA AVE.
TULSA, OK 74137-7002
Phone number: 918-296-7045
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