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Zachary Vickers

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

NPI number1164060802
StatusActive
Last updated in NPPESDec 12, 2019

Details

NPI
1164060802
Entity type
Individual (NPI-1)
Name
Zachary Vickers
Sex
Male
Sole proprietor
No
Enumeration date
Dec 12, 2019
Certification date
Dec 12, 2019
Last updated
Dec 12, 2019

Taxonomy and licenses

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

Practice location

619 N Main St
Muskogee, OK 74401-4431

Phone 918-682-8407

Mailing address

619 N Main St
Muskogee, OK 74401-4431

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