Individual
JOEY LOGGAINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21182 MEADOW LN, HOWE, OK 74940
(918) 658-2189
(918) 658-2180
Mailing address
23611 WOLF VLY, WISTER, OK 74966-2945
(918) 721-4560
(918) 658-2180
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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