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Organization

COVENANT WOMEN'S CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VALERIE MARIE MALONE CPC (SOPA OFFICE MANAGER)
(580) 226-1010
Entity
Organization

Contact information

Practice address
1505 N COMMERCE ST, SUITE 204, ARDMORE, OK 73401-1863
(580) 226-3003
(580) 798-3124
Mailing address
1505 N COMMERCE ST, SUITE 204, ARDMORE, OK 73401-1863
(580) 226-3003
(580) 798-3124

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OK

Other

Enumeration date
09/07/2016
Last updated
09/07/2016
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