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Organization
AGELESS FAMILY MEDICINE LLC
Active
Organization
AGELESS FAMILY MEDICINE LLC
Active
Other names
Checkup Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE TAPONNO APRN (PROVIDER)
(405) 512-4881
Entity
Organization
Contact information
Practice address
5300 N MERIDIAN AVE STE 8, OKLAHOMA CITY, OK 73112-2137
(405) 768-2121
(405) 768-2232
Mailing address
1833 OLDE SCHOOL RD, EDMOND, OK 73012-3244
(405) 512-4881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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