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Organization

OK THETA & WELLNESS

Active
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Organization

OK THETA & WELLNESS

Active
Other names
OK Theta & Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
DEANA GLENN NP (OWNER)
(405) 607-9227
Entity
Organization

Contact information

Practice address
6410 N SANTA FE AVE STE C, OKLAHOMA CITY, OK 73116-9127
(405) 607-9227
Mailing address
6410 N SANTA FE AVE STE C, OKLAHOMA CITY, OK 73116-9127
(405) 607-9227

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
04/03/2025
Last updated
07/11/2025
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