Individual
DIANA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 E WAYNE ST, EDMOND, OK 73034-5100
(405) 968-9032
Mailing address
900 E WAYNE ST, EDMOND, OK 73034-5100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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