CORDEROE EDWIN JOHNSON

MUSKOGEE, OK
NPI1922814979
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-12-05
Last Update Date2024-12-05
Business Address
Mr. CORDEROE EDWIN JOHNSON
3619 W BROADWAY ST
MUSKOGEE, OK 74401-2140
Phone number: 918-913-7100
Mailing Address
Mr. CORDEROE EDWIN JOHNSON
3619 W BROADWAY ST
MUSKOGEE, OK 74401-2140
Phone number: 918-913-7100
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