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1942649520
FIRST MED CLINIC S 104TH LLC
OKLAHOMA CITY, OK
NPI
1942649520
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Entity Type
Organization
Authorized Contact
TODD LECHTENBERGER
CEO
405-471-6400
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2013-06-18
Last Update Date
2013-06-18
Business Address
FIRST MED CLINIC S 104TH LLC
1140 SW 104TH ST
OKLAHOMA CITY, OK 73139-2992
Phone number: 405-691-3100
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Mailing Address
FIRST MED CLINIC S 104TH LLC
1221 N KELLY AVE
EDMOND, OK 73003-4865
Phone number: 405-471-6400
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