Individual
DIANA SUZANNE GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SPECIALIST
Contact information
Practice address
111 W 1ST ST, CHANDLER, OK 74834-2004
(405) 273-1170
Mailing address
111 W 1ST ST, CHANDLER, OK 74834-2004
(405) 273-1170
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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