Cortez De'Angelo Edwards
Case Manager/Care Coordinator in Wagoner, OK. Individual provider (NPI-1).
NPI number1699204792
StatusActive
Last updated in NPPESJan 8, 2019
Details
- NPI
- 1699204792
- Entity type
- Individual (NPI-1)
- Name
- Mr. Cortez De'Angelo Edwards
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2017
- Last updated
- Jan 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
26243 Highway 51Wagoner, OK 74467-8740
Phone 918-614-0778
Mailing address
26243 Highway 51Wagoner, OK 74467-8740
Phone 918-614-0778
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All 49 Case Manager/Care Coordinator providers in Wagoner · All 366 providers in Wagoner
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