Individual
CHARLIE GENE SANDLIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17990 DON DR, SPIRO, OK 74959-4104
(479) 459-8338
Mailing address
17990 DON DR, SPIRO, OK 74959-4104
(479) 459-8338
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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