Individual
DAKOTA T WHISTANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5310 E 31ST ST # 0000, TULSA, OK 74135-5018
(918) 600-3100
(918) 560-1399
Mailing address
213 W WACO ST, BROKEN ARROW, OK 74011-3626
(918) 261-7090
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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