Organization
AMATTCO LLC
Active
Other names
New Leaf Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LON DOUSING (CORPORATE - OWNER)
(405) 751-9800
Entity
Organization
Contact information
Practice address
3705 WEST MEMORIAL RD SUITE 601, OKLAHOMA CITY, OK 73134
(405) 751-7800
(405) 751-9808
Mailing address
3705 WEST MEMORIAL RD SUITE 601, OKLAHOMA CITY, OK 73134
(405) 751-9800
(405) 751-9808
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
24935
OK
Other
Enumeration date
12/26/2012
Last updated
02/01/2018
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