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Organization

GREEN COUNTRY MEDICAL, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHERYL NEELY (RN)
(918) 273-0140
Entity
Organization

Contact information

Practice address
712 E OSAGE AVE, NOWATA, OK 74048-3638
(918) 273-0140
Mailing address
712 E OSAGE AVE, NOWATA, OK 74048-3638

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
04/19/2007
Last updated
10/30/2007
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