Provider First Line Business Practice Location Address:
305 S 5TH ST
Provider Second Line Business Practice Location Address:
REHABCARE AT ST. MARY'S REGIONAL MEDICAL CTR
Provider Business Practice Location Address City Name:
ENID
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73701-5832
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-548-5075
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/12/2007