Organization
COUNTY OF MAYES LOCUST GROVE SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BILLIE L DAVIS (OFFICE MANAGER)
(918) 479-5243
Entity
Organization
Contact information
Practice address
700 NORTH HIGHWAY 82, LOCUST GROVE MIDDLE SCHOOL, LOCUST GROVE, OK 74352
(918) 479-5317
(918) 479-5347
Mailing address
PO BOX 399, 419 NORTH BROADWAY, LOCUST GROVE, OK 74352
(918) 479-5243
(918) 479-6468
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100687900A
—
OK
Enumeration date
03/02/2007
Last updated
06/26/2008
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