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Individual

CHRISTOPHER MICHAEL OWENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
1212 REYNOLDS AVE, POTEAU, OK 74953-4724
(918) 649-0172
Mailing address
99 SE 1170TH AVE, RED OAK, OK 74563-2353
(918) 413-0728

Taxonomy

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

Other

Enumeration date
07/11/2019
Last updated
07/11/2019
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