Individual
MRS. JOHNIE RUTH DEWBRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELOR OF SCIENCE
Contact information
Practice address
103 W MAIN ST, WILBURTON, OK 74578-4043
(918) 465-7890
Mailing address
182 SE 136TH RD, WILBURTON, OK 74578-7678
(918) 448-7701
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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