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Organization
SOURCE UNLIMITED INC
Active
Organization
SOURCE UNLIMITED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARVETTA KAY VAUGHNS (OWNER)
(405) 840-5558
Entity
Organization
Contact information
Practice address
4801 N CLASSEN BLVD STE 239, OKLAHOMA CITY, OK 73118-4622
(405) 840-5558
(405) 840-9194
Mailing address
4801 N CLASSEN BLVD STE 239, OKLAHOMA CITY, OK 73118-4622
(405) 840-5558
(405) 840-9194
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
OK
Other
Enumeration date
03/14/2007
Last updated
02/13/2008
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