Individual
TASHA D DUBOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 NE 10TH ST STE A106, MIDWEST CITY, OK 73110-3600
(405) 731-9012
(888) 875-1829
Mailing address
7901 NE 10TH ST STE A106, MIDWEST CITY, OK 73110-3600
(405) 731-9012
(888) 875-1829
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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