Individual
JOSEPH CALEB MICHELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
802 E TOLEDO ST, BROKEN ARROW, OK 74012-6513
(918) 851-6847
Mailing address
802 E TOLEDO ST, BROKEN ARROW, OK 74012-6513
(918) 851-6847
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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