Individual
MS. KARISE TREVON DYKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 NW 10TH ST, OKLAHOMA CITY, OK 73106-7220
(405) 528-4673
Mailing address
2217 SW 94TH TER, OKLAHOMA CITY, OK 73159-6851
(714) 574-5553
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OK
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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