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NPI Code Detail

MEDICARE: DEJUAN NAFF

MEDICARE:   DEJUAN  NAFF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency

General Provider Information

NPI Number : 1518387976
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEJUAN NAFF
Provider Business Mailing Address
First Line : 4237 NW 16TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-4251
Country : US
Telephone Number : 405-609-9852
Fax Number :
Provider Business Practice Location Address
First Line : 4237 NW 16TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-4251
Country : US
Telephone Number : 405-609-9852
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2014
Last Update Date : 04/23/2014

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Directions to “ DEJUAN NAFF ” Practice Location

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