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Organization

AVANT DIABETTES MANAGEMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAMS J DRAGOO (CHIEF EXECUTIVE OFFICER)
(800) 420-1481
Entity
Organization

Contact information

Practice address
2225 SW 59TH ST, OKLAHOMA CITY, OK 73119-7026
(800) 420-1481
(800) 361-4480
Mailing address
2225 SW 59TH ST, OKLAHOMA CITY, OK 73119-7026
(800) 420-1481
(800) 361-4480

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
10/06/2014
Last updated
10/06/2014
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