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Individual

MRS. CORA NADINE ROZELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ME

Contact information

Practice address
19493 SOUTH 575 ROAD, TAHLEQUAH, OK 74464-1879
(918) 456-4088
Mailing address
19493 S 575 RD, TAHLEQUAH, OK 74464-1841
(918) 456-4088

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
OK

Other

Enumeration date
01/30/2012
Last updated
01/30/2012
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