Individual
COLT TY LANE CAHOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2808 S PICHER AVE, JOPLIN, MO 64804-1645
(417) 347-7850
Mailing address
PO BOX 2526, JOPLIN, MO 64803-2526
(417) 347-7850
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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