Individual
DIANA LYNN MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 E FIR ST, PERRY, OK 73077-4900
(580) 336-5200
(580) 336-5201
Mailing address
102 E FIR ST, PERRY, OK 73077-4900
(580) 336-5200
(580) 336-5201
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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