Individual
MRS. DIANA SUE BAGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
900 N OWEN WALTERS BLVD, SALINA, OK 74365-5003
(918) 434-8507
(918) 434-8597
Mailing address
900 N OWEN WALTERS BLVD, SALINA, OK 74365-5003
(918) 434-8507
(918) 434-8597
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11077
OK
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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