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Individual

MS. CARA HECKENKEMPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CM

Contact information

Practice address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-1399
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
(918) 560-1399

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N/A
PHYSICIANS
OK
Enumeration date
05/12/2014
Last updated
10/30/2014
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