Individual
EMMANUEL COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NBA-GM
Contact information
Practice address
1115 S ASPEN AVE STE E-F, BROKEN ARROW, OK 74012-4859
(918) 249-0221
Mailing address
1115 S ASPEN AVE STE E-F, BROKEN ARROW, OK 74012-4859
(918) 249-0221
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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