| Provider Type: | Other Service Providers |
| Provider Classification: | Specialist |
| Definition of Specialization: | |
| Address: |
200 S 37th St Muskogee, OK 74401-4928 |
| Phone: | (918) 683-8100 |
| Fax: | (918) 683-8198 |
| Authorized Official: | Walker, Gina |
| Authorized Official Position: | Business Manager |
| Authorized Official Phone: | (918) 683-8100 |
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