Organization
EUFAULA LAKE FAMILY DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY RANDLEMAN M.D. (OWNER)
(918) 452-3133
Entity
Organization
Contact information
Practice address
RT 1 BOX 131-C, EAUFAULA, OK 74432
(918) 452-3133
Mailing address
RT 1 BOX 131-C, EAUFAULA, OK 74432
(918) 452-3133
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
21330
OK
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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