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Madison Nicole Allen

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

NPI number1134866684
StatusActive
Last updated in NPPESMay 17, 2022

Details

NPI
1134866684
Entity type
Individual (NPI-1)
Name
Madison Nicole Allen
Sex
Female
Sole proprietor
Yes
Enumeration date
May 17, 2022
Certification date
May 17, 2022
Last updated
May 17, 2022

Taxonomy and licenses

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

Practice location

1139 N Main St
Muskogee, OK 74401-4441

Phone 918-687-7064

Mailing address

1139 N Main St
Muskogee, OK 74401-4441

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