Individual
CHLOE CALISTA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 W MAIN ST, WILBURTON, OK 74578-4043
(918) 465-7890
Mailing address
15516 SW 1010 AVE, TUSKAHOMA, OK 74574-1304
(918) 429-4154
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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