Individual
DEENA JUNE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2536 N BOSTON AVE, TULSA, OK 74106-3609
(918) 645-2547
(918) 663-0203
Mailing address
2536 N BOSTON AVE, TULSA, OK 74106-3609
(918) 645-2547
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
175T00000X
Peer Specialist
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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