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Organization
REVELATION MEDICAL OF OKLAHOMA CITY LLC
Active
Organization
REVELATION MEDICAL OF OKLAHOMA CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WARREN LINN (AUTHORIZED OFFICIAL)
(405) 698-1020
Entity
Organization
Contact information
Practice address
6001 NW 139TH ST, OKLAHOMA CITY, OK 73142-1919
(405) 698-1020
Mailing address
6001 NW 139TH ST, OKLAHOMA CITY, OK 73142-1919
(405) 698-1020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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