Mr. Johnny Ray Green Jr.
Mr. Johnny Ray Green Jr. is a Case Manager/Care Coordinator in Catoosa, Oklahoma. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
20214 E Admiral Pl Apt 732Catoosa, OK 74015-3265
Phone: (870) 680-0227
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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 | 1275283921 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 25, 2022 |
| Last updated in NPPES | March 25, 2022 |
| Certification date | March 25, 2022 |
| Mailing address | 20214 E Admiral Pl Apt 732, Catoosa, OK 74015-3265 |
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