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Individual

MRS. JACINTA N DIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5005 N PENN AVE STE 103, OKLAHOMA CITY, OK 73112-8886
(405) 753-4269
Mailing address
5005 N PENNSYLVANIA AVE STE 103, OKLAHOMA CITY, OK 73112-8886

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
172V00000X
Community Health Worker
Primary

Other

Enumeration date
04/21/2010
Last updated
04/21/2010
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