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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MIRACLE OBETA, MA, BHRS

Active Sole Proprietor

MR. MIRACLE OBETA, MA, BHRS is a Community/Behavioral Health healthcare provider located in YUKON, Oklahoma. NPI 1083950125 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · YUKON, OK

Registration Details

NPI Number
1083950125
Provider Type
Individual
Gender
Male
NPI Issued
Dec 18, 2012 (13.694350209423 yrs)
Last Updated
May 21, 2019
Sole Proprietor
Yes

Practice Information

Address
2900 CIDER MILL LN
YUKON, OK, 730998843
Browse OK providers · Browse ZIP 73099
Phone
4055413733
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Providers in YUKON, OK

Name Credential NPI
MRS. JOYETTE MESSIAH WOMBLE 1447505128
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.