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1962799593
PENNINGTON CREEK LIFEHOUSE
TISHOMINGO, OK
NPI
1962799593
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Entity Type
Organization
Authorized Contact
JAN M OWENS
Owner/ Therapist
580-371-3799
Organization Subpart ?
No
Primary Taxonomy
251B00000X Case Management
Enumeration Date
2011-07-04
Last Update Date
2011-07-04
Business Address
PENNINGTON CREEK LIFEHOUSE
705 W MAIN ST
TISHOMINGO, OK 73460-1734
Phone number: 580-371-3799
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Mailing Address
PENNINGTON CREEK LIFEHOUSE
705 W MAIN ST
TISHOMINGO, OK 73460-1734
Phone number: 580-371-3799
Copy
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