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Individual

DONNA THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
138 S MAIN, AFTON, OK 74331
(918) 257-4244
(918) 257-4247
Mailing address
138 S MAIN, P.O.BOX 160, AFTON, OK 74331
(918) 257-4244
(918) 257-4247

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100746170G
OK
Enumeration date
03/07/2011
Last updated
06/14/2016
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