Individual
ALYSSA BEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31870 E STATE HIGHWAY 51, COWETA, OK 74429-7900
(918) 279-3474
Mailing address
108 E H ST, JENKS, OK 74037-3129
(918) 798-5507
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
08/23/2021
Last updated
09/20/2021
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