CORTEZ DE'ANGELO EDWARDS

WAGONER, OK
NPI1699204792
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-06-12
Last Update Date2019-01-08
Business Address
Mr. CORTEZ DE'ANGELO EDWARDS
26243 HIGHWAY 51
WAGONER, OK 74467-8740
Phone number: 918-614-0778
Mailing Address
Mr. CORTEZ DE'ANGELO EDWARDS
26243 HIGHWAY 51
WAGONER, OK 74467-8740
Phone number: 918-614-0778
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