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1932787926
PRIMARYPRACTICE LLC
NORMAN, OK
NPI
1932787926
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Entity Type
Organization
Authorized Contact
KUMAR B ENNAMURI
Owner/President
405-820-2586
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2021-03-31
Last Update Date
2021-03-31
Business Address
PRIMARYPRACTICE LLC
1125 N PORTER AVE STE 101
NORMAN, OK 73071-6443
Phone number: 405-364-0630
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Mailing Address
PRIMARYPRACTICE LLC
1125 N PORTER AVE STE 101
NORMAN, OK 73071-6443
Phone number: 405-364-0630
Copy
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