Individual
MRS. DEZIRAY SWING CLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
16805 KINROSS CIR, EDMOND, OK 73012-8436
(405) 408-3878
(405) 285-0303
Mailing address
16805 KINROSS CIR, EDMOND, OK 73012-8436
(405) 408-3878
(405) 285-0303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1473
OK
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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