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Individual

ELETRA GREAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7401 NE 23RD ST, OKLAHOMA CITY, OK 73141-1420
(405) 778-8007
Mailing address
2813 NE SUCCESS ST, OKLAHOMA CITY, OK 73111-1929

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
02/04/2020
Last updated
02/04/2020
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Product
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  • Eligibility checks
  • EDI platform