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Organization

RESTORATION SUPPLY COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRICIA A STEPHENS (OWNER/PRES)
(405) 348-5885
Entity
Organization

Contact information

Practice address
504 SW 93RD ST, OKLAHOMA CITY, OK 73139-4820
(405) 348-5885
(405) 330-8207
Mailing address
PO BOX 50386, MIDWEST CITY, OK 73140-5386
(405) 348-5885
(405) 330-8207

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
OK

Other

Enumeration date
03/03/2009
Last updated
03/03/2009
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