Individual
MRS. DIANNA GAYLE HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4825 NW 23RD ST, OKLAHOMA CITY, OK 73127-1800
(405) 896-8426
Mailing address
5228 NW 47TH ST, WARR ACRES, OK 73122-5315
(405) 326-9058
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477914166
LANDMARK RECOVERY
KY
Enumeration date
11/15/2018
Last updated
11/15/2018
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