Individual
DESIREE PURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 SW 53RD ST, OKLAHOMA CITY, OK 73109-8006
(405) 212-6079
Mailing address
520 SW 53RD ST, OKLAHOMA CITY, OK 73109-8006
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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