Individual
EYDIE FAYE KEESEE-YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1436 NW 105TH ST, OKLAHOMA CITY, OK 73114-5116
(405) 473-6681
Mailing address
1436 NW 105TH ST, OKLAHOMA CITY, OK 73114-5116
(405) 473-6681
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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