Individual
BAILEY COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2530 S COMMERCE ST BLDG C, ARDMORE, OK 73401-5519
(580) 226-5048
(580) 226-3569
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(580) 226-5048
(580) 226-3569
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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