Redefine U | |
2511 S Muskogee Ave Tahlequah OK 74464-5459 | |
(918) 431-0634 | |
(908) 431-0654 |
Full Name | Redefine U |
---|---|
Speciality | Community/behavioral Health |
Location | 2511 S Muskogee Ave, Tahlequah, Oklahoma |
Authorized Official Name and Position | Kimberley L Cook (CO-OWNER/DIRECTOR) |
Authorized Official Contact | 9184310634 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Redefine U 2511 S Muskogee Ave Tahlequah OK 74464-5459 Ph: (918) 431-0634 | Redefine U 2511 S Muskogee Ave Tahlequah OK 74464-5459 Ph: (918) 431-0634 |
NPI Number | 1033443296 |
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Provider Enumeration Date | 09/21/2009 |
Last Update Date | 09/21/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033443296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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