DESIREE NICOLE BLACK

CATOOSA, OK
NPI1356111082
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-01-04
Last Update Date2024-01-04
Business Address
DESIREE NICOLE BLACK
19320 E ADMIRAL PL STE B
CATOOSA, OK 74015-3240
Phone number: 918-340-5503
Mailing Address
DESIREE NICOLE BLACK
19320 E ADMIRAL PL STE B
CATOOSA, OK 74015-3240
Phone number:
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