MR. Cortez De'angelo Edwards

NPI #1699204792 in Wagoner, Oklahoma

Provider Information

NPI Number: 1699204792
Entity Type: Individual
Name: MR. Cortez De'angelo Edwards
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jun 12, 2017
Last Updated: Jan 8, 2019

Practice Location

Address: 26243 HIGHWAY 51
City: Wagoner
State: Oklahoma
ZIP Code: 74467-8740
Phone: (918) 614-0778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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