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Musami Wolf

Technician, Attendant Care Provider in Edmond, OK. Individual provider (NPI-1).

NPI number1366093528
StatusActive
Last updated in NPPESSep 27, 2019

Details

NPI
1366093528
Entity type
Individual (NPI-1)
Name
Musami Wolf
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 27, 2019
Last updated
Sep 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

2916 Stonebrook Rd
Edmond, OK 73003-2141

Phone 405-213-4583

Mailing address

2916 Stonebrook Rd
Edmond, OK 73003-2141

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Other Attendant Care Provider providers in Edmond, OK

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