Individual
COREY LEE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
428 E 2ND ST, EDMOND, OK 73034-5301
(405) 227-9899
(405) 359-7700
Mailing address
428 E 2ND ST, EDMOND, OK 73034-5301
(405) 227-9899
(405) 359-7700
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
07/21/2022
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