Organization
FGG LLC
Active
Other names
JENKINS STREET CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
PHILICIA M GROVES NP (NURSE PRACTITIONER, ADMINISTRATOR)
(405) 701-2420
Entity
Organization
Contact information
Practice address
755 JENKINS AVE, NORMAN, OK 73069-4951
(405) 701-2420
(405) 701-2447
Mailing address
755 JENKINS AVE, NORMAN, OK 73069-4951
(405) 701-2420
(405) 701-2447
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2012
Last updated
11/07/2012
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