Individual
JIMMIE DEAN DOBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMII
Contact information
Practice address
210 S WILSON ST, POTEAU, OK 74953-4917
(918) 520-1240
Mailing address
210 S WILSON ST, POTEAU, OK 74953-4917
(918) 520-1240
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
315692
OK
Other
Enumeration date
09/14/2021
Last updated
07/11/2024
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