Individual
ELLEN J CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 E MAIN ST, TISHOMINGO, OK 73460-2351
(580) 371-3776
Mailing address
PO BOX 24, CONNERVILLE, OK 74836-0024
(405) 410-5828
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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