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Organization · Preferred Provider Organization · Oklahoma City, OK

NPI
1568852135
Type
Organization (Type 2)
Primary specialty
Preferred Provider Organization
Specialty group
Managed Care Organizations
Taxonomy code
305R00000X
License number
103749 (OK)
Enumerated
2015-02-03
Last updated
2015-02-03
Practice location
2809 Sw 119th St
Oklahoma City, OK 73170-2605
(405) 757-7818

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