Individual
DR. SALLY LYNN QUILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2620 NW EXPRESSWAY ST, SUITE B, OKLAHOMA CITY, OK 73112-7207
(405) 947-4327
(405) 947-4340
Mailing address
2620 NW EXPRESSWAY ST, SUITE B, OKLAHOMA CITY, OK 73112-7207
(405) 947-4327
(405) 947-4340
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
63
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731475099-001
STATE DEPT. OF REHAB SERV
OK
Enumeration date
11/05/2006
Last updated
07/08/2007
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