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Organization

CHICKASAW NATION FRS - NORMAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TERRY L. SMITH (DIRECTOR)
404057678942
Entity
Organization

Contact information

Practice address
3200 MARSHALL AVE, SUITE 220, NORMAN, OK 73072-8033
(405) 767-8940
(405) 767-8949
Mailing address
3200 MARSHALL AVE, SUITE 220, NORMAN, OK 73072-8033
(405) 767-8940
(405) 767-8949

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
03/24/2011
Last updated
03/24/2011
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