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Organization

COMMUNITY NURSING CENTER OF OKC, LLC

Active
Other names
Diversity Family Health
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL ROOMS ARNP (OWNER)
(405) 848-0026
Entity
Organization

Contact information

Practice address
1822 E 15TH ST, TULSA, OK 74104-4645
(405) 848-0026
Mailing address
1211 N SHARTEL AVE STE 300, OKLAHOMA CITY, OK 73103-2425
(405) 848-0026

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
01/14/2022
Last updated
12/19/2023
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