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NPI Provider: 1053317883
Contact Name: Bray Tom
Position: Executive Director
Phone: (918) 664-4224
12 & 12, Inc. Information:
12 & 12, Inc. organization have npi 1053317883, taxonomy code is 324500000X with license number is 640AD in . This Business address located in 6333 E Skelly Dr, Tulsa, OK 74135 Oklahoma. Get directions of 12 & 12, Inc..
Practice Location
Address: 6333 E Skelly Dr, Tulsa, OK 74135
Phone: (918) 664-4224
Business Location
Address: 6333 E Skelly Dr, Tulsa, OK 74135
Phone: (918) 664-4224
Fax: (918) 663-0203
Taxonomy
Taxonomy Code: 324500000X
License Number: 640AD
License Number of State: OK
Primary Taxonomy Switch: Y
Enumeration Date: 6/27/2005
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