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Organization

OKEENE PUBLIC SCHOOLS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KODY STRADER SLP (MEDICAID COORDINATOR)
(580) 822-3425
Entity
Organization

Contact information

Practice address
318 N 6TH, OKEENE, OK 73763-0409
(580) 822-3268
Mailing address
PO BOX 409, OKEENE, OK 73763-0409
(580) 822-3268

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2749
OK

Other

Enumeration date
11/19/2008
Last updated
11/19/2008
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