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Organization

SOUTHERN OKLAHOMA LIFELINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA A. PEAY (OWNER)
(580) 421-2414
Entity
Organization

Contact information

Practice address
107 W MAIN ST, ADA, OK 74820-5401
(580) 421-2414
Mailing address
PO BOX 592, ADA, OK 74821-0592
(580) 421-2414
(580) 332-1074

Taxonomy

Speciality
Code
Description
License number
State
333300000X
Emergency Response System Companies
Primary

Other

Enumeration date
11/21/2011
Last updated
11/21/2011
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