Individual
CAROL ANN DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
2307 GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 273-5236
Mailing address
2307 GORDON COOPER DR, SHAWNEE, OK 74801-9007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11688
OK
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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