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Organization

COSMOCOMET.LLC

Active
Other names
Dr. Robin Western D.O.
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK HABECK (BUSINESS MANAGER)
(918) 342-2528
Entity
Organization

Contact information

Practice address
1222 N FLORENCE AVE, CLAREMORE, OK 74017-3147
(918) 342-2528
(918) 342-2538
Mailing address
1222 N FLORENCE AVE, CLAREMORE, OK 74017-3147
(918) 342-2528
(918) 342-2538

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3245
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1538151246
INDIVIDUAL NPI
OK
Enumeration date
12/22/2008
Last updated
12/22/2008
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