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Organization

PREVENT CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN MURGAI (OWNER / PRESIDENT)
(806) 239-6862
Entity
Organization

Contact information

Practice address
4500 N CLASSEN BLVD, SUITE 203, OKLAHOMA CITY, OK 73118-4834
(405) 601-8102
(806) 209-0000
Mailing address
2410 W MEMORIAL RD, STE C #156, OKLAHOMA CITY, OK 73134-8047
(806) 239-6862
(806) 209-0000

Taxonomy

Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary

Other

Enumeration date
04/21/2013
Last updated
04/21/2013
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