Individual
MRS. AIDA ARACELI DICKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 W ORLEANS AVE, SAPULPA, OK 74066-7032
(623) 302-8445
Mailing address
230 W ORLEANS AVE, SAPULPA, OK 74066-7032
(623) 302-8445
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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