Individual
CASSANDRA KOEKEMOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7026 S JOPLIN AVE, TULSA, OK 74136-3515
(870) 253-3715
Mailing address
7026 S JOPLIN AVE APT 122, TULSA, OK 74136-3512
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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