Individual
COY CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
37098 S 4449 RD, VINITA, OK 74301-7148
(918) 244-4928
Mailing address
4201 NOTTING HILL DR, MOORE, OK 73160-2262
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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