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Organization

OKLAHOMA STATE DEPARTMENT OF HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIANNA MARIE VARGAS (APRN)
(580) 649-5064
Entity
Organization

Contact information

Practice address
1010 SW SHERIDAN RD, LAWTON, OK 73505-1531
(580) 248-5890
Mailing address
1000 NE 10TH ST, OKLAHOMA CITY, OK 73117-1207

Taxonomy

Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
R0099778
OK

Other

Enumeration date
10/15/2014
Last updated
10/15/2014
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