Organization
PRIME MOBILITY MEDICAL EQUIPMENT & REPAIR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAQULA M GATER (CEO)
(918) 884-5255
Entity
Organization
Contact information
Practice address
420 N WALNUT AVE, BROKEN ARROW, OK 74012-2353
(918) 884-5255
Mailing address
420 N WALNUT AVE, BROKEN ARROW, OK 74012-2353
(918) 884-5255
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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