Staci Channel

NPI #1407175698 in Cashion, Oklahoma

Provider Information

NPI Number
1407175698
Entity Type
Individual
Name
Staci Channel
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
May 27, 2010
Last Updated
May 27, 2010

Practice Location

Address
5620 NORTHRIDGE RUN
ZIP Code
73016-9426
Phone
(405) 260-7662

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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