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1780011874
CROSSROADS MEDICAL MANAGEMENT PC
SHAWNEE, OK
NPI
1780011874
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Entity Type
Organization
Authorized Contact
KEITH CONAWAY
Owner
405-585-2030
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: 19091)
Enumeration Date
2013-10-03
Last Update Date
2018-10-16
Business Address
CROSSROADS MEDICAL MANAGEMENT PC
2508 N HARRISON
SHAWNEE, OK 74804
Phone number: 405-585-2030
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Mailing Address
CROSSROADS MEDICAL MANAGEMENT PC
2508 N HARRISON
SHAWNEE, OK 74804
Phone number: 405-585-2030
Copy
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