Organization
LEADINGAGE OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY E BRINKLEY (EXECUTIVE DIRECTOR)
(405) 640-8040
Entity
Organization
Contact information
Practice address
804 ASHLAND DR, EL RENO, OK 73036-5699
(405) 640-8040
Mailing address
PO BOX 1383, EL RENO, OK 73036-1383
(405) 640-8040
(405) 262-5252
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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