Organization
KIAMICHI OPPORTUNITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM SMITH (EXECUTIVE DIRECTOR)
(580) 326-7548
Entity
Organization
Contact information
Practice address
405 NORTH 16TH, HUGO, OK 74743-0669
(580) 326-7548
(580) 326-7540
Mailing address
PO BOX 669, 405 NORTH 16TH, HUGO, OK 74743-0669
(580) 326-7548
(580) 326-7540
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
OK
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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