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Individual

DECHANEL GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PWC

Contact information

Practice address
7901 NE 10TH ST STE B101, MIDWEST CITY, OK 73110-3653
(405) 352-2522
Mailing address
7901 NE 10TH ST STE B101, MIDWEST CITY, OK 73110-3653
(405) 352-2522

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
OK
172V00000X
Community Health Worker
OK
374J00000X
Doula
Primary
OK

Other

Enumeration date
10/10/2023
Last updated
10/10/2023
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