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Individual

COURTNIE MARIE ROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
112 MCKINLEY AVE, CHANDLER, OK 74834-1622
(405) 424-7711
Mailing address
619 MITACEK AVE APT 38, PRAGUE, OK 74864-4547
(405) 566-7426

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/21/2024
Last updated
10/03/2024
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