Mr. Corderoe Edwin Johnson Sr.
Mr. Corderoe Edwin Johnson Sr. is a Case Manager/Care Coordinator in Muskogee, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
3619 W Broadway StMuskogee, OK 74401-2140
Phone: (918) 913-7100
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1922814979 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 5, 2024 |
| Last updated in NPPES | December 5, 2024 |
| Certification date | December 5, 2024 |
| Mailing address | 3619 W Broadway St, Muskogee, OK 74401-2140 |
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