Individual
JOHN DEPOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 A ST NE, 102 A NE, MIAMI, OK 74354-6332
(918) 801-3500
Mailing address
102 A ST NE, 102 A NE, MIAMI, OK 74354-6332
(918) 801-3500
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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