| NPI | 1770886426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON B. BENNETT Owner/Family Nurse Practitioner 580-625-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OK R0071654) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2011-04-05 |