Individual
DANA NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
222 S BROADWAY, HOBART, OK 73651-1821
(580) 752-4309
Mailing address
222 S BROADWAY, HOBART, OK 73651-1821
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
OK
Enumeration date
08/08/2018
Last updated
08/08/2018
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