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Old Hwy 69 Texanna Road Chectoah OK 74426 | |
(580) 371-3672 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | Old Hwy 69 Texanna Road, Chectoah, Oklahoma |
Authorized Official Name and Position | Virginia Ragan (VP OF OPERATIONS) |
Authorized Official Contact | 5803713672 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Old Hwy 69 Texanna Road Chectoah OK 74426 Ph: (918) 689-7416 | Old Hwy 69 Texanna Road Chectoah OK 74426 Ph: (580) 371-3672 |
NPI Number | 1750611885 |
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Provider Enumeration Date | 01/13/2010 |
Last Update Date | 01/13/2010 |
Identifier | Type | State | Issuer |
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1750611885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |