Individual
DIXI DENISE RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
1017 NW 6TH ST, OKLAHOMA CITY, OK 73106-7202
(405) 605-8282
Mailing address
1017 NW 6TH ST, OKLAHOMA CITY, OK 73106-7202
(405) 605-8282
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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