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Individual

DIANA M KRUPENYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5310 E 31ST ST, TULSA, OK 74135-5012
(918) 600-3100
Mailing address
2508 S 14TH ST, BROKEN ARROW, OK 74012-7264
(918) 845-1885

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
01/12/2021
Last updated
08/30/2024
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