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Organization

PROVIDENCE OF OKLAHOMA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNJAVETTA D BABB B.A. (PSRS)
(580) 326-7477
Entity
Organization

Contact information

Practice address
117 E MAIN ST, HUGO, OK 74743-6237
(580) 326-7477
(580) 326-6400
Mailing address
117 E MAIN ST, HUGO, OK 74743-6237
(580) 326-7477
(580) 326-6400

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
03/03/2010
Last updated
03/03/2010
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