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1861059388
15TH STREET CLINIC
EDMOND, OK
NPI
1861059388
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Entity Type
Organization
Authorized Contact
EDWARD POOLE
Owner
405-420-3937
Organization Subpart ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2019-05-20
Last Update Date
2019-05-20
Business Address
15TH STREET CLINIC
180 W 15TH ST STE 100
EDMOND, OK 73013-3601
Phone number: 405-420-3937
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Mailing Address
15TH STREET CLINIC
180 W 15TH ST STE 100
EDMOND, OK 73013-3601
Phone number: 405-420-3937
Copy
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