Individual
MRS. JOHNNIE DEPOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
222 E SHERIDAN AVE STE 2, OKLAHOMA CITY, OK 73104-4209
(866) 926-6552
Mailing address
718 E MAIN ST TRLR 23, WEATHERFORD, OK 73096-5655
(580) 819-1004
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/05/2017
Last updated
11/05/2017
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