| Pioneer | |
|
23 E 9th St Suite 444 Shawnee OK 74801-6943 | |
| (405) 615-9267 | |
| (405) 279-2773 |
| Full Name | Pioneer |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 23 E 9th St, Shawnee, Oklahoma |
| Authorized Official Name and Position | Gloria Jean Cloke (OWNER/COUNSELOR) |
| Authorized Official Contact | 4056159267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Rr 2 Box 225 Meeker OK 74855-9629 Ph: (405) 615-9267 | Pioneer 23 E 9th St Suite 444 Shawnee OK 74801-6943 Ph: (405) 615-9267 |
| NPI Number | 1891022539 |
|---|---|
| Provider Enumeration Date | 11/17/2009 |
| Last Update Date | 11/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891022539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3100 (Oklahoma) | Primary |
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