Individual
DIAMOND JEAN BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
823 N VILLA AVE, OKLAHOMA CITY, OK 73107-6439
(918) 801-2486
Mailing address
823 N VILLA AVE, OKLAHOMA CITY, OK 73107-6439
(918) 801-2486
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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