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Organization

BLACKHAWK MANGUM LLC

Active
Other names
Robinson Family Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN OWENS (OWNER)
(512) 659-4467
Entity
Organization

Contact information

Practice address
1601 WATTS ST, SAYRE, OK 73662-1314
(580) 928-9933
Mailing address
1601 WATTS ST, SAYRE, OK 73662-1314
(580) 928-9933

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
02/05/2015
Last updated
02/05/2015
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