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Individual

AMANDA WYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
901 N PORTER AVE, NORMAN, OK 73071-6404
(405) 307-3833
Mailing address
3920 WARWICK DR, NORMAN, OK 73072-3217

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1374
OK

Other

Enumeration date
10/10/2016
Last updated
10/10/2016
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