Individual
MS. DAWN ROCHELLE DEMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7409 E 84TH ST, TULSA, OK 74133-6632
(620) 249-1963
Mailing address
7409 E 84TH ST, TULSA, OK 74133-6632
(620) 249-1963
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1542
OK
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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