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His Arms Extended

NPI #1619374337 in Blanchard, Oklahoma

Provider Information

NPI Number
1619374337
Entity Type
Organization
Organization Name
His Arms Extended
Primary Specialty
Point of Service
Enumeration Date
Nov 24, 2014
Last Updated
Nov 24, 2014

Practice Location

Address
2358 COUNTY ROAD 1325
City
Blanchard
State
Oklahoma
ZIP Code
73010-3522
Phone
(405) 505-8329

Authorized Official

Name
MRS. CHERYL DENISE KITE, REVEREND
Title
REVEREND
Phone
(405) 505-8329

Specialties & Taxonomy Codes

Specialty
Point of Service

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