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Organization
KICKAPOO HEALTH CENTER
Active
Organization
KICKAPOO HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE S. MCKINNEY BACHELORS DEGREE (CASE MANAGER)
(405) 964-2618
Entity
Organization
Contact information
Practice address
105365 S.HIGHWAY 102, MCLOUD, OK 74851
(405) 964-2618
Mailing address
PO BOX 1059, MCLOUD, OK 74851-1059
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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