Individual
EDDIE TODD NANNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1088 S GIN RD, ATOKA, OK 74525-7378
(580) 513-0543
Mailing address
177 N PENNSYLVANIA AVE, ATOKA, OK 74525-2053
(580) 513-0543
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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