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Nicole Staton

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

NPI number1063149136
StatusActive
Last updated in NPPESAug 8, 2022

Details

NPI
1063149136
Entity type
Individual (NPI-1)
Name
Nicole Staton
Sex
Female
Sole proprietor
No
Enumeration date
Aug 8, 2022
Certification date
Aug 8, 2022
Last updated
Aug 8, 2022

Taxonomy and licenses

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

Practice location

5401 Sw 29th St
Oklahoma City, OK 73179-7602

Phone 405-686-7828

Mailing address

17533 Se 44th St
Choctaw, OK 73020-5927

Phone 619-770-8781

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