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MISTY BILBY
>> Case Manager/Care Coordinator >> Other Service ProvidersRegistrant NPI Number: 1962870048
Individual Registrant: MISTY BILBY
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
17225 S 89TH WEST AVE MOUNDS, OK 74047-4127 US
Tel: 918-230-0828 Fax: --
Tel: 918-230-0828 Fax: --
Contact information for business:
17225 S 89TH WEST AVE MOUNDS, OK 74047-4127 US
Tel: 918-230-0828 Fax: --
Tel: 918-230-0828 Fax: --
Registration Information:
NPI: 1962870048
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171M00000X | Other Service Providers Case Manager/Care Coordinator |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
