Citizen Potawatomi Nation

NPI #1689680670 in Shawnee, Oklahoma

Provider Information

NPI Number
1689680670
Entity Type
Organization
Organization Name
Citizen Potawatomi Nation
Primary Specialty
Clinic/Center
Enumeration Date
Jul 31, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
2307 S GORDON COOPER DR
ZIP Code
74801-9007
Phone
(405) 273-5236

Authorized Official

Name
MR. JOHN JOSEPH LAREAU, DPH
Title
PHARMACY COORDINATOR
Phone
(405) 273-5236

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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