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Organization
COMMUNITY WELLNESS CLINIC, LLC
Active
Organization
COMMUNITY WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOEL SANGER (PARTNER)
(816) 769-1680
Entity
Organization
Contact information
Practice address
707 S ROLAND RD STE 6, ROLAND, OK 74954-5337
(479) 221-7119
Mailing address
PO BOX 937, ROLAND, OK 74954-0937
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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