Individual
DIANE LEE COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1341 SW 108TH PL, OKLAHOMA CITY, OK 73170-4221
(405) 692-6488
Mailing address
1341 SW 108TH PL, OKLAHOMA CITY, OK 73170-4221
(405) 692-6488
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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