Last Updated: 5/5/2024 7:06:14 PM
Facility DetailCorporation / Company Owner Name | |
Business (DBA) Name | INDIAN TERRITORY DME |
License Number | 55-S-1379 |
Facility Type | Medical Gas Supplier |
Address |
2112 W BROADWAY, STE B |
City, State, Zip | SULPHUR,OK 73086-4200 |
Country | |
Issue Date | 09/17/2009 |
Renewed Date | 08/18/2017 |
Expiration Date | 09/30/2018 |
Renewal Month | |
End Date | 09/28/2018 |
Status | CLOSED |
In Process? | |
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