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Individual

CHEROKEE KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
333 E FAIRCHILD DR, MIDWEST CITY, OK 73110-5711
(405) 537-2644
Mailing address
333 E FAIRCHILD DR, MIDWEST CITY, OK 73110-5711
(405) 537-2644

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
06/14/2020
Last updated
06/14/2020
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