Tasha D Dubose

NPI #1730709072 in Midwest City, Oklahoma

Provider Information

NPI Number: 1730709072
Entity Type: Individual
Name: Tasha D Dubose
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Management
Enumeration Date: Apr 16, 2020
Last Updated: Apr 16, 2020

Practice Location

Address: 7901 NE 10TH ST STE A106
City: Midwest City
State: Oklahoma
ZIP Code: 73110-3600
Phone: (405) 731-9012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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