Provider First Line Business Practice Location Address:
U.S. HIGHWAYS 70 & 81
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAURIKA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73573-0090
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-228-2344
Provider Business Practice Location Address Fax Number:
580-228-3410
Provider Enumeration Date:
07/13/2006