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Organization
IDWI, INC
Active
Organization
IDWI, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE'L EDINGTON FARRAR SLP (PRES)
(918) 637-5114
Entity
Organization
Contact information
Practice address
2864 SW LIMESTONE RD, WILBURTON, OK 74578-6843
(918) 637-5114
(918) 465-3095
Mailing address
2864 SW LIMESTONE RD, WILBURTON, OK 74578-6843
(918) 637-7912
(918) 465-3095
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/24/2008
Last updated
10/05/2009
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