Organization
GRAVIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI SCHMIT LMT (PARTNER)
(405) 613-2066
Entity
Organization
Contact information
Practice address
317 E MOBILE TER, MUSTANG, OK 73064-6524
(405) 613-2066
Mailing address
317 E MOBILE TER, MUSTANG, OK 73064-6524
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OK
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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