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Courtney Gallimore

Case Manager/Care Coordinator in Ponca City, OK. Individual provider (NPI-1).

NPI number1013792019
StatusActive
Last updated in NPPESAug 28, 2023

Details

NPI
1013792019
Entity type
Individual (NPI-1)
Name
Courtney Gallimore
Sex
Female
Sole proprietor
No
Enumeration date
Aug 28, 2023
Certification date
Aug 28, 2023
Last updated
Aug 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

407 W South Ave
Ponca City, OK 74601-6133

Phone 918-237-5155

Mailing address

407 W South Ave
Ponca City, OK 74601-6133

Phone 918-237-5155

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