MIRACLE ENNINGA

Case Manager/Care Coordinator

NPI: 1649045048Individual

Specialties, Licenses & Credentials

Case Manager/Care CoordinatorPrimary

Case Manager/Care Coordinator

Code: 171M00000X

Contact & Hours

Address: 407 W SOUTH AVE
PONCA CITY, OK 74601
Phone: (580) 749-5056

Quick Facts

NPI: 1649045048
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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