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Organization
CAREATC
Active
Organization
CAREATC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BENDER (DIRECTOR, PRODUCT & DATA MANAGEMENT)
(918) 779-7475
Entity
Organization
Contact information
Practice address
4500 S 129TH EAST AVE STE 191, TULSA, OK 74134-5891
(918) 779-7475
Mailing address
4500 S 129TH EAST AVE STE 191, TULSA, OK 74134-5891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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