Individual
MR. DANIEL SHAWN DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
803 NW 7TH ST, STIGLER, OK 74462-2794
(918) 967-8558
Mailing address
PO BOX 447, 803 N.W. 7TH ST, STIGLER, OK 74462-0447
(918) 967-8558
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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