Individual
MRS. DIANA LYNN BURROWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1095 NICKERSON ST, WAYNOKA, OK 73860-1252
(580) 824-0674
(580) 824-0676
Mailing address
PO BOX 135, WAYNOKA, OK 73860-0135
(580) 824-0674
(580) 824-0676
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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