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Organization
PRIMARY CARE CLINIC OF WINDSOR VIEW LLC
Active
Organization
PRIMARY CARE CLINIC OF WINDSOR VIEW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIE DEGRAFF (CREDENTIALING MANAGER)
(352) 239-6759
Entity
Organization
Contact information
Practice address
4337 NW 50TH ST, OKLAHOMA CITY, OK 73112-2248
(405) 946-0611
(405) 941-1957
Mailing address
10432 NW 34TH ST, YUKON, OK 73099-3573
(405) 946-0611
(405) 941-1957
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
03/10/2023
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