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1790008902
PROVIDENCE OF OKLAHOMA
HUGO, OK
NPI
1790008902
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Entity Type
Organization
Authorized Contact
ANNJAVETTA D BABB
Psrs
580-326-7477
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2010-03-03
Last Update Date
2010-03-03
Business Address
PROVIDENCE OF OKLAHOMA
117 E MAIN ST
HUGO, OK 74743-6237
Phone number: 580-326-7477
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Mailing Address
PROVIDENCE OF OKLAHOMA
117 E MAIN ST
HUGO, OK 74743-6237
Phone number: 580-326-7477
Copy
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