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Organization
TERRACOM
Active
Organization
TERRACOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENITA A HART (PROCESSING MANAGER)
(405) 241-9575
Entity
Organization
Contact information
Practice address
401 E MEMORIAL RD, SUITE 500, OKLAHOMA CITY, OK 73114-2288
(405) 298-4875
Mailing address
401 E MEMORIAL RD, SUITE 500, OKLAHOMA CITY, OK 73114-2288
(405) 298-4875
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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