Individual
JOE WASHINGTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4009 EUFAULA AVE, MUSKOGEE, OK 74403-1132
(918) 682-2841
Mailing address
2753 N EDMOND ST, MUSKOGEE, OK 74403-1521
(918) 577-6124
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/11/2017
Last updated
08/11/2017
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