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1861650251
WARREN CLINIC SOUTH FAMILY MEDICINE SOONERCARE GROUP
TULSA, OK
NPI
1861650251
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Entity Type
Organization
Authorized Contact
CATHEY RAE DUPLISSEY
Credentialing Coordinator
918-488-6687
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2008-06-02
Last Update Date
2017-11-13
Business Address
WARREN CLINIC SOUTH FAMILY MEDICINE SOONERCARE GROUP
6600 S YALE AVE STE 1400
TULSA, OK 74136-3310
Phone number: 918-488-6001
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Mailing Address
WARREN CLINIC SOUTH FAMILY MEDICINE SOONERCARE GROUP
10505 E 91ST ST SUITE 110
TULSA, OK 74133-5801
Phone number:
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