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Organization
JAMES DENNIS MEDICAL FOUNDATION INC
Active
Organization
JAMES DENNIS MEDICAL FOUNDATION INC
Active
Other names
Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY SUE MITCHELL (ADMINISTRATOR)
(580) 594-2292
Entity
Organization
Contact information
Practice address
1153 CHEROKEE ST, WAKITA, OK 73771-5095
(580) 594-2292
(580) 594-2534
Mailing address
1153 CHEROKEE ST, WAKITA, OK 73771-9520
(580) 594-2292
(580) 594-2534
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2701-2701
OK
Other
Enumeration date
03/21/2007
Last updated
04/18/2014
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