Individual
MRS. DENA SHAWN BLUEBIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 E BOONE ST, TAHLEQUAH, OK 74464-3361
(918) 207-4977
(918) 458-6167
Mailing address
1325 E BOONE ST, TAHLEQUAH, OK 74464-3361
(918) 207-4977
(918) 458-6167
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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