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Organization

KLR INNOVATIONS LLC

Active
Parent organization
KLR INNOVATIONS LLC
Other names
Hearing Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
KLR INNOVATIONS LLC
Authorized official
MRS. RYIAN L CRENSHAW HIS (OWNER)
(580) 352-1016
Entity
Organization

Contact information

Practice address
410 FAIRVIEW AVE, PONCA CITY, OK 74601-1922
(580) 749-4227
(580) 749-4487
Mailing address
410 FAIRVIEW AVE, PONCA CITY, OK 74601-1922
(580) 749-4227
(580) 749-4487

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary

Other

Enumeration date
10/11/2018
Last updated
03/30/2021
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