Individual
DONA PULICKEN DAISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W 17TH ST, TULSA, OK 74107-1886
(405) 744-7665
Mailing address
6808 POSTSIDE LN, OKLAHOMA CITY, OK 73132-4091
(405) 503-4670
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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