Individual
DONNIE ALLENSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4911 N PORTLAND AVE STE 111, OKLAHOMA CITY, OK 73112-6170
(405) 605-3093
(405) 601-5682
Mailing address
5913 NW 161ST ST, EDMOND, OK 73013-9757
(405) 659-6775
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/10/2009
Last updated
02/19/2012
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