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721 County Road 1530 Ste B Rush Springs OK 73082-3014 | |
(580) 713-6887 | |
Not Available |
Full Name | |
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Speciality | Counselor - Professional |
Location | 721 County Road 1530 Ste B, Rush Springs, Oklahoma |
Authorized Official Name and Position | Tiffany Ware (CEO) |
Authorized Official Contact | 6173723788 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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721 County Road 1530 Ste B Rush Springs OK 73082-3014 Ph: (580) 713-6887 | 721 County Road 1530 Ste B Rush Springs OK 73082-3014 Ph: (580) 713-6887 |
NPI Number | 1689431249 |
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Provider Enumeration Date | 02/29/2024 |
Last Update Date | 07/16/2024 |
Certification Date | 07/16/2024 |
Identifier | Type | State | Issuer |
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1689431249 | NPI | - | NPPES |