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CHARADEE ERWIN

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1538539184

Individual Registrant:
 CHARADEE  ERWIN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
400 NORTH EAST THIRD  KINGSTON, OK 73439 US
Tel: 580-564-9033  Fax: 580-564-9516

Contact information for business:
400 NORTH EAST THIRD  KINGSTON, OK 73439 US
Tel: 580-564-9033  Fax: 580-564-9516

Registration Information:
NPI: 1538539184
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PUBLIC SCHOOL100687670OK01




HEALTH CARE JOBS OK - Page 1

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