Provider First Line Business Practice Location Address:
211 WEST GENTRY AVENUE
Provider Second Line Business Practice Location Address:
MCINTOSH COUNTY HEALTH DEPARTMENT
Provider Business Practice Location Address City Name:
CHECOTAH
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74469
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-473-5416
Provider Business Practice Location Address Fax Number:
918-473-1841
Provider Enumeration Date:
04/10/2013