Individual
BETHANY BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3910 E 430 RD, OOLOGAH, OK 74053-3658
(918) 521-9238
Mailing address
3910 E 430 RD, OOLOGAH, OK 74053-3658
(918) 521-9238
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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