Provider First Line Business Practice Location Address:
JOSEPH HARP CORRECTIONAL CENTER
Provider Second Line Business Practice Location Address:
16161 MOFFET ROAD
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73051-0548
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-527-5593
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/13/2007