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Organization
COMANCHE COUNTY HEALTHCARE CORP
Active
Organization
COMANCHE COUNTY HEALTHCARE CORP
Active
Other names
MNT DIABETES SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT SMITH (CFO)
(580) 355-8620
Entity
Organization
Contact information
Practice address
3201 W GORE BLVD, SUITE 103, LAWTON, OK 73505-6378
(580) 250-6407
(580) 355-5893
Mailing address
PO BOX 785, LAWTON, OK 73502-0785
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
NULL
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
10/15/2008
Last updated
05/08/2015
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