Provider First Line Business Practice Location Address:
JUNCTION OF HWY 270 AND 56
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEWOKA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74884
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-257-6282
Provider Business Practice Location Address Fax Number:
405-257-2051
Provider Enumeration Date:
06/14/2006