CITIZEN POTAWATOMI NATION

NPI # 

Practice Address:

2307 S Gordon Cooper Dr

Shawnee, OK, 74801-9007

Practice Phone:

405-273-5236

Practice Fax:

405-273-2392

License Number:

10-4078

License State:

OK

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Code:

261Q00000X

Updated by NPPES on 8/22/2020. You can view the original data set for NPI # 1689680670 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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CITIZEN POTAWATOMI NATION's

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