Individual
MRS. JONI LEE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 S WALNUT ST, SAPULPA, OK 74066-5337
(918) 224-1038
Mailing address
404 S WALNUT ST, SAPULPA, OK 74066-5337
(918) 224-1038
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
10/22/2013
Last updated
01/18/2017
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