MISSION STREET MEDICAL CLINIC INC

SAPULPA, OK
NPI1972600112
Entity TypeOrganization
Authorized ContactDIANNA M WILLIS
Doctor
918-224-9555
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  2405)
Enumeration Date2006-09-20
Last Update Date2010-12-30
Business Address
MISSION STREET MEDICAL CLINIC INC
615 S MISSION ST STE A
SAPULPA, OK 74066-4635
Phone number: 918-224-9555
Mailing Address
MISSION STREET MEDICAL CLINIC INC
615 S MISSION ST STE A
SAPULPA, OK 74066-4635
Phone number: 918-224-9555
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