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Organization · Preferred Provider Organization · Oklahoma City, OK

NPI
1821393323
Type
Organization (Type 2)
Primary specialty
Preferred Provider Organization
Specialty group
Managed Care Organizations
Taxonomy code
305R00000X
License number
101YA0400X (OK)
Enumerated
2011-01-14
Last updated
2011-01-18
Practice location
3621 N Kelley Ave, Suite 100
Oklahoma City, OK 73111-4520
(405) 621-5952

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