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Main Medical Clinic Llc
Family Nurse Practitioner in Tishomingo, Oklahoma
NPI 1710758966

Main Medical Clinic Llc is a Family Nurse Practitioner based in Tishomingo, OK and is specialized in Family. Main Medical Clinic Llc practices in Tishomingo, OK. The NPI Number for Main Medical Clinic Llc is 1710758966 and holds a License No. (Oklahoma).

The current practice location address for Main Medical Clinic Llc is 108 W Main St, Tishomingo, OK and can be reached out via phone at 580-774-3548.

Location: 108 W Main St, Tishomingo, OK, 73460-1723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710758966
Provider Name
Main Medical Clinic Llc
Credential
Provider Entity Type
Organization
Address
108 W Main St, Tishomingo, OK, 73460-1723
Phone Number
580-774-3548
Fax Number
Provider Enumeration Date
01/15/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
108 W Main St
City
Tishomingo
State
Oklahoma
Zip
73460-1723
Phone Number
580-774-3548
Fax Number
person
Provider Business Mailing Address Details
Address
108 W Main St
City
Tishomingo
State
Oklahoma
Zip
73460-1723
Phone Number
580-774-3548
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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