Organization
REDLANDS COMMUNITY COLLEGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELI ZUCKSWORTH (HEAD TRAINER)
(405) 422-6279
Entity
Organization
Contact information
Practice address
1300 S COUNTRY CLUB RD, EL RENO, OK 73036-5304
(866) 415-6367
Mailing address
PO BOX 819020, DALLAS, TX 75381-9020
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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