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Blue Marble Medical, LLC

Durable Medical Equipment & Medical Supplies in Mustang, OK. Organization (NPI-2).

NPI number1508302001
StatusActive
Last updated in NPPESJan 9, 2017

Details

NPI
1508302001
Entity type
Organization (NPI-2)
Legal business name
Blue Marble Medical, LLC
Organization subpart
No
Enumeration date
Jan 9, 2017
Last updated
Jan 9, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

13112 Sw 47th St
Mustang, OK 73064-7931

Phone 405-896-8311 · Fax 405-896-8321

Mailing address

Po Box 1167
Mustang, OK 73064-8167

Phone 405-896-8311 · Fax 405-896-8321

Authorized official

Joseph A Schraad
President
4058968311

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