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Individual

DIANA FAY HOGUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
10443 N. MAY AVE # 831, OKLAHOMA CITY, OK 73120
(405) 286-2331
Mailing address
10443 N, MAY AVE #831, OKLAHOMA CITY, OK 73120
(405) 286-2331

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
643
OK

Other

Enumeration date
10/25/2012
Last updated
10/25/2012
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