Individual
DESTINY DAWN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 S PENN AVE, BARTLESVILLE, OK 74003-3847
(918) 337-8080
Mailing address
700 S PENN AVE, BARTLESVILLE, OK 74003-3847
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
U083509214
OK
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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