Individual
CASEY MANLOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 DEWEY AVE, POTEAU, OK 74953-4216
(918) 647-7065
Mailing address
PO BOX 6, MONROE, OK 74947-0006
(918) 413-0274
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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