Individual
DEBORAH JEAN WEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
201 E CHESTNUT AVE, PONCA CITY, OK 74601-4311
(580) 763-0931
Mailing address
423 E LINCOLN AVE, BLACKWELL, OK 74631-3335
(580) 363-0857
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
L 0029696
OK
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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