GRAND PRAIRIE PEDIATRIC AND ALLERGY CLINIC INC

OKLAHOMA CITY, OK
NPI1952368664
Entity TypeOrganization
Authorized ContactKENNETH CHARLES JACKSON
Pres
405-721-8090
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: OK  11030)
Enumeration Date2006-04-27
Last Update Date2012-05-25
Business Address
GRAND PRAIRIE PEDIATRIC AND ALLERGY CLINIC INC
7301 N COMANCHE AVE
OKLAHOMA CITY, OK 73132
Phone number: 405-721-8090
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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