Individual
DENA MARIE WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1803 S WOOD DR, OKMULGEE, OK 74447-6825
(918) 756-9250
(918) 756-9187
Mailing address
708 WASHINGTON AVE, SAND SPRINGS, OK 74063-7927
(918) 933-7219
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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