Individual
MR. HODALEE SEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 E ILLINOIS AVE, VINITA, OK 74301-3202
(918) 256-9961
Mailing address
401 S MUSKOGEE AVE, CLAREMORE, OK 74017-8021
(850) 254-5426
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/23/2010
Last updated
02/25/2020
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