Individual
MRS. LAURA DIEDRA NUBINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3621 N KELLEY AVE, SUITE 100, OKLAHOMA CITY, OK 73111-4520
(405) 524-5525
(405) 524-5528
Mailing address
11219 N PENNSYLVANIA AVE, APT 706, OKLAHOMA CITY, OK 73120-7734
(405) 760-3480
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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