Individual
DONNA KARLENE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1824 S VAN BUREN ST, ENID, OK 73703-7903
(405) 230-1181
Mailing address
1824 S VAN BUREN ST, ENID, OK 73703-7903
(405) 230-1181
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1093939126
OK
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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