Organization
VINITA MEDICAL EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWNNA MARIE MOORE (CO-OWNER)
(918) 323-0441
Entity
Organization
Contact information
Practice address
405 N WILSON ST, VINITA, OK 74301-2432
(918) 323-0441
(918) 323-0442
Mailing address
PO BOX 1182, VINITA, OK 74301-1182
(918) 323-0441
(918) 323-0442
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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