Individual
IMOGENE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 E GRAHAM AVE, PRYOR, OK 74361-2436
(918) 825-1405
(918) 825-1406
Mailing address
10008 E 410, STRANG, OK 74367-6826
(918) 589-2294
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
02/23/2015
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