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Organization

OKLAHOMA ECONOMIC DEVELOPMENT AUTHORITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIKE BOSTIC (EXECUTIVE DIRECTOR)
(580) 625-4531
Entity
Organization

Contact information

Practice address
1116 19TH ST, WOODWARD, OK 73801-2925
(580) 256-8553
(580) 254-2825
Mailing address
PO BOX 668, BEAVER, OK 73932-0668
(580) 625-4531
(580) 625-3420

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
03/28/2008
Last updated
03/28/2008
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