Individual
MS. DIANA FAYE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSBS
Contact information
Practice address
319 N HUDSON ST, ALTUS, OK 73521-3709
(580) 482-6296
Mailing address
319 N HUDSON ST, ALTUS, OK 73521-3709
(580) 482-6296
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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