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Organization
PROVIDE HEARING AIDS
Active
Organization
PROVIDE HEARING AIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY L SPOTTS (OWNER)
(580) 357-6000
Entity
Organization
Contact information
Practice address
1201 WEST GORE BLVD, SUITE D, LAWTON, OK 73501
(580) 357-6000
(580) 357-6008
Mailing address
1201 W GORE BLVD, SUITE D, LAWTON, OK 73501-3642
(580) 357-6008
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
579
OK
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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