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1952368664
GRAND PRAIRIE PEDIATRIC AND ALLERGY CLINIC INC
OKLAHOMA CITY, OK
NPI
1952368664
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Entity Type
Organization
Authorized Contact
KENNETH CHARLES JACKSON
Pres
405-721-8090
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: OK 11030)
Enumeration Date
2006-04-27
Last Update Date
2012-05-25
Business Address
GRAND PRAIRIE PEDIATRIC AND ALLERGY CLINIC INC
7301 N COMANCHE AVE
OKLAHOMA CITY, OK 73132
Phone number: 405-721-8090
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Mailing Address
GRAND PRAIRIE PEDIATRIC AND ALLERGY CLINIC INC
7301 N COMANCHE AVE
OKLAHOMA CITY, OK 73132
Phone number: 405-721-8090
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