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Individual

DAELA ECHOLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CASE MANAGER

Contact information

Practice address
2530 S COMMERCE ST, ARDMORE, OK 73401-5519
(580) 319-7305
(580) 319-7328
Mailing address
320 LOCUST RD, WILSON, OK 73463-7236
(580) 229-5609

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100728830
OK
Enumeration date
08/30/2017
Last updated
05/04/2018
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