Individual
LORETTA DENE PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2112 NW 29TH ST, OKLAHOMA CITY, OK 73107-2526
(405) 313-7720
Mailing address
2112 NW 29TH ST, OKLAHOMA CITY, OK 73107-2526
(405) 313-7720
Taxonomy
Speciality
Code
Description
License number
State
282J00000X
Religious Nonmedical Health Care Institution
Primary
—
—
Other
Enumeration date
06/07/2017
Last updated
07/21/2022
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