Individual
BYLYNN VANZANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 N. 1ST, DURANT, OK 74701
(580) 931-3008
(580) 931-8022
Mailing address
503 E. ARKANSAS ST., DURANT, OK 74701
(580) 920-3594
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200049040
—
OK
Enumeration date
05/26/2011
Last updated
05/26/2011
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