Individual
IZABELLA MARINA DUNKELBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 S MUSKOGEE AVE, TAHLEQUAH, OK 74464-4717
(918) 207-0078
Mailing address
426 GOINGSNAKE ST APT 31, TAHLEQUAH, OK 74464-2971
(918) 351-9485
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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