Individual
CHI DUNGEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14200 N 280 RD, OKMULGEE, OK 74447-1464
(918) 759-1617
Mailing address
PO BOX 1464, OKMULGEE, OK 74447-1464
(918) 759-1617
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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