Individual
CHERYL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 W BROADWAY ST, MUSKOGEE, OK 74401-3340
(918) 681-4201
(918) 686-8445
Mailing address
PO BOX 545, OKAY, OK 74446-0545
(918) 681-4413
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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