Individual
ALANA LYNN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
RR 1 BOX 35, BOLEY, OK 74829-9707
(918) 667-3367
(918) 667-3387
Mailing address
PO BOX 218, BOLEY, OK 74829-0218
(918) 667-3367
(918) 667-3387
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100685660A
—
OK
05
—
100685660D
—
OK
Enumeration date
11/25/2015
Last updated
11/25/2015
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