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Organization

CENTRAL OKLAHOMA FAMILY MEDICAL CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA WARE (CEO)
(580) 925-3286
Entity
Organization

Contact information

Practice address
304 N MONTE VISTA ST, ADA, OK 74820
(580) 436-1111
(580) 436-1159
Mailing address
527 W 3RD ST, KONAWA, OK 74849-1415
(580) 925-3286
(580) 925-2362

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary

Other

Enumeration date
10/25/2023
Last updated
10/25/2023
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