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Organization

PRIMARY CARE CLINIC OF WINDSOR VIEW LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMIE DEGRAFF (CREDENTIALING MANAGER)
(352) 239-6759
Entity
Organization

Contact information

Practice address
4337 NW 50TH ST, OKLAHOMA CITY, OK 73112-2248
(405) 946-0611
(405) 941-1957
Mailing address
10432 NW 34TH ST, YUKON, OK 73099-3573
(405) 946-0611
(405) 941-1957

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
09/27/2022
Last updated
03/10/2023
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