Individual
DEANA M. WAGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2417 COUNTY ROAD 1263 STE 100, BLANCHARD, OK 73010-3123
(405) 274-5551
Mailing address
2417 COUNTY ROAD 1263 STE 100, BLANCHARD, OK 73010-3123
(405) 274-5551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1451
OK
Other
Enumeration date
01/20/2006
Last updated
03/25/2019
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