Individual
MRS. DEANNA IRENE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3610 S 120TH EAST AVE, TULSA, OK 74146-2849
(918) 206-8192
Mailing address
3610 S 120TH EAST AVE, TULSA, OK 74146-2849
(918) 206-8192
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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