Individual
COREE LEE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31246 E 64TH ST S, BROKEN ARROW, OK 74014-8579
(918) 313-7973
Mailing address
31246 E 64TH ST S, BROKEN ARROW, OK 74014-8579
(479) 367-9700
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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