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Blackhawk Mangum, Llc
Primary Care Clinic/Center in Sayre, Oklahoma
NPI 1760890040

Blackhawk Mangum, Llc is a Primary Care Clinic/Center based in Mangum, OK and is specialized in Primary Care. Blackhawk Mangum, Llc practices in Sayre, OK. The NPI Number for Blackhawk Mangum, Llc is 1760890040 and holds a License No. (Oklahoma).

The current practice location address for Blackhawk Mangum, Llc is 1601 Watts St, Sayre, OK and can be reached out via phone at 580-928-9933.

Location: 1601 Watts St, Sayre, OK, 73554-9117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760890040
Provider Name
Blackhawk Mangum, Llc
Credential
Provider Entity Type
Organization
Address
1601 Watts St, Sayre, OK, 73554-9117
Phone Number
580-928-9933
Fax Number
Provider Enumeration Date
07/30/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1601 Watts St
City
Sayre
State
Oklahoma
Zip
73662-1314
Phone Number
580-928-9933
Fax Number
person
Provider Business Mailing Address Details
Address
1601 Watts St
City
Sayre
State
Oklahoma
Zip
73662-1314
Phone Number
580-928-9933
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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