Nova Deere Wise

NPI #1609263029 in Okemah, Oklahoma

Provider Information

NPI Number
1609263029
Entity Type
Individual
Name
Nova Deere Wise
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Apr 23, 2015
Last Updated
Apr 23, 2015

Practice Location

Address
104037 N 3840 RD
City
Okemah
ZIP Code
74859-3832
Phone
(918) 268-4738

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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