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Individual

MS. CAROLYN MARIE O'DANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1044 SW 44TH ST STE 350, OKLAHOMA CITY, OK 73109-3625
(405) 631-3085
Mailing address
PO BOX 284, EDMOND, OK 73083-0284
(405) 326-9673

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
2472E0500X
EEG Technician
Primary
NA
2472E0500X
EEG Technician

Other

Enumeration date
04/23/2018
Last updated
04/23/2018
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