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1821796632
OKLAHOMA INFUSION CLINIC LLC
PONCA CITY, OK
NPI
1821796632
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Entity Type
Organization
Authorized Contact
STEPHANIE LANELL AUSTIN
Member
580-304-6809
Organization Subpart ?
No
Primary Taxonomy
261QI0500X Clinic/Center, Infusion Therapy
Enumeration Date
2023-02-21
Last Update Date
2023-04-20
Business Address
OKLAHOMA INFUSION CLINIC LLC
322 E GRAND AVE
PONCA CITY, OK 74601-4525
Phone number: 580-304-6809
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Mailing Address
OKLAHOMA INFUSION CLINIC LLC
2504 WILDWOOD AVE
PONCA CITY, OK 74604-4146
Phone number: 580-304-6809
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