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Cody Michael Wann
Student in an Organized Health Care Education/Training Program in Poteau, Oklahoma
NPI 1306624739

Cody Michael Wann is a Student in an Organized Health Care Education/Training Program based in Poteau, OK. Cody Michael Wann practices in Poteau, OK. The NPI Number for Cody Michael Wann is 1306624739 and holds a License No. (Oklahoma).

The current practice location address for Cody Michael Wann is 510 N Broadway St, Poteau, OK and can be reached out via phone at 918-647-4196.

Location: 510 N Broadway St, Poteau, OK, 74953-0711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306624739
Provider Name
Cody Michael Wann
Credential
Provider Entity Type
Individual
Gender
Male
Address
510 N Broadway St, Poteau, OK, 74953-0711
Phone Number
918-647-4196
Fax Number
Provider Enumeration Date
09/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
510 N Broadway St
City
Poteau
State
Oklahoma
Zip
74953-3536
Phone Number
918-647-4196
Fax Number
person
Provider Business Mailing Address Details
Address
510 N Broadway St
City
Poteau
State
Oklahoma
Zip
74953-3536
Phone Number
918-647-4196
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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