Ethan Wade Taylor
Ethan Wade Taylor is a Case Manager/Care Coordinator in Tishomingo, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
1350 S Muldrow StTishomingo, OK 73460-3278
Phone: (830) 928-6990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1841636115 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 14, 2013 |
| Last updated in NPPES | May 14, 2013 |
| Mailing address | 1350 S Muldrow St, Tishomingo, OK 73460-3278 |
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