Individual
KATIE RAE OWINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1822 NE 10TH ST, BLANCHARD, OK 73010-9319
(405) 226-8957
Mailing address
1822 NE 10TH ST, BLANCHARD, OK 73010-9319
(405) 226-8957
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134446974
—
OK
Enumeration date
05/03/2010
Last updated
05/23/2013
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