Individual
DYLAN WADE RAINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 E ROSS AVE, SAPULPA, OK 74066-6423
(918) 227-2016
Mailing address
912 S SANDUSKY AVE, TULSA, OK 74112-4132
(870) 375-2043
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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