FacilityDetail

Last Updated:  12/22/2024 7:09:13 PM

Facility Detail                       
Corporation / Company Owner Name BRADEN PARTNERS, L.P. 
Business (DBA) Name   PACIFIC PULMONARY SERVICES 
License Number  12-S-1055 
Facility Type Medical Gas Supplier 
Address

214 STANLEY ST SW

City, State, Zip ARDMORE,OK 73401-6306 
Country   
Issue Date  08/27/2004 
Renewed Date 07/20/2016
Expiration Date  08/31/2017 
Renewal Month
End Date  03/24/2017 
Status CLOSED 
In Process?
 

Disciplinary Action
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Case Date   Case Number  
No records 
 

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