TIMOTHY DEWAYNE CORDELL

CLAREMORE, OK
NPI1720629884
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WE0003X Registered Nurse, Emergency
(Licence: OK  77266)
Enumeration Date2019-09-30
Last Update Date2019-09-30
Business Address
TIMOTHY DEWAYNE CORDELL
101 S MOORE AVE
CLAREMORE, OK 74017-5047
Phone number: 918-342-6495
Mailing Address
TIMOTHY DEWAYNE CORDELL
101 S MOORE AVE
CLAREMORE, OK 74017-5047
Phone number: