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Individual

CHARNESIA KNIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5310 E 31ST ST, TULSA, OK 74135-5018
(918) 600-3100
(918) 560-1399
Mailing address
823 CONOLEY AVE, BREWTON, AL 36426-1705
(251) 363-8370

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
07/12/2021
Last updated
07/14/2021
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