Individual
CAROL LYNN CANBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2311 W NASHVILLE PL, BROKEN ARROW, OK 74012-4725
(918) 607-9234
Mailing address
2311 W NASHVILLE PL, BROKEN ARROW, OK 74012-4725
(918) 607-9234
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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