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Cade Church
Student in an Organized Health Care Education/Training Program in Broken Arrow, Oklahoma
NPI 1194481291

Cade Church is a Student in an Organized Health Care Education/Training Program based in Broken Arrow, OK. Cade Church practices in Broken Arrow, OK. The NPI Number for Cade Church is 1194481291 and holds a License No. (Oklahoma).

The current practice location address for Cade Church is 24009 E 113Th St S, Broken Arrow, OK and can be reached out via phone at 918-900-4218.

Location: 24009 E 113Th St S, Broken Arrow, OK, 74014-5696
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194481291
Provider Name
Cade Church
Credential
Provider Entity Type
Individual
Gender
Male
Address
24009 E 113Th St S, Broken Arrow, OK, 74014-5696
Phone Number
918-900-4218
Fax Number
Provider Enumeration Date
11/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24009 E 113Th St S
City
Broken Arrow
State
Oklahoma
Zip
74014-5696
Phone Number
918-900-4218
Fax Number
person
Provider Business Mailing Address Details
Address
24009 E 113Th St S
City
Broken Arrow
State
Oklahoma
Zip
74014-5696
Phone Number
918-900-4218
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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