Most Relevant Information
Provider Data
| NPI Number: | 1003356114 |
| Provider Name: | DEBRA DAUGOMAH |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/08/2017 |
| Last Updated: | 03/08/2017 |
Provider Practice Location
221 N WEWOKA AVE
WEWOKA
OK
748842221
Practice Location Phone/Fax
| Phone: | 4052579030 |
| Fax: | 4052579031 |
Provider Mailing Location
PO BOX 662
PURCELL
OK
730800662
Provider Mailing Phone/Fax
| Phone: | 4055271785 |
| Fax: | 4055271084 |