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Vamana, Inc.

NPI #1750654869 in Idabel, Oklahoma

Provider Information

NPI Number
1750654869
Entity Type
Organization
Organization Name
Vamana, Inc.
Primary Specialty
Specialist
Enumeration Date
Feb 21, 2012
Last Updated
Feb 21, 2012

Practice Location

Address
1506 E LINCOLN RD
City
Idabel
State
Oklahoma
ZIP Code
74745-7349
Phone
(870) 773-1111

Authorized Official

Name
DENNIS MICHAEL BLANKENSHIP, M.D.
Title
PRESIDENT
Phone
(870) 773-1111

Specialties & Taxonomy Codes

Specialty
Specialist

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