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Organization

LIFE PSYCHIATRIC CLINIC CLINTON LLC

Active
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Organization

LIFE PSYCHIATRIC CLINIC CLINTON LLC

Active
Other names
Life Psychiatric Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MEBIN BABU THOMAS PA-C (MEMBER)
(405) 414-9139
Entity
Organization

Contact information

Practice address
545 S 30TH STREET, CLINTON, OK 73601
(580) 547-4087
Mailing address
609 S KELLY AVE STE B2, EDMOND, OK 73003-5725

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
05/01/2025
Last updated
05/01/2025
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