ProviderBusinessMailingAddressFaxNumber = '4055747750'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1962469098
SOUTHERN PLAINS MEDICAL CENTER, INC
2222 WEST IOWA AVENUE
CHICKASHA
OK
730182738
1477599157
MOORE
DE'LENE
PO BOX 1069
CHICKASHA
OK
730231069
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