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Individual

CHELSIE CASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1803 S WOOD DR, OKMULGEE, OK 74447-6825
(918) 756-9250
Mailing address
1803 S WOOD DR, OKMULGEE, OK 74447-6825
(918) 756-9250

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
390200000X
Student in an Organized Health Care Education/Training Program
39200000X
OK

Other

Enumeration date
08/10/2015
Last updated
11/14/2019
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