Individual
JOHN EDWIN BANGAY RIMANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2121 S 125TH EAST AVE STE 106, TULSA, OK 74129-5800
(918) 574-8442
Mailing address
2121 S 125TH EAST AVE STE 106, TULSA, OK 74129-5800
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
OK
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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