Individual
DEANNA MICHELE COSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W MAIN ST, PAWHUSKA, OK 74056-4149
(287) 542-6287
Mailing address
100 W MAIN ST FL 4, PAWHUSKA, OK 74056-4149
(918) 287-5413
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
PENDING
OK
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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