Individual
CARLEY DIANE BUSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7127 N COUNTY LINE RD, PIEDMONT, OK 73078-9136
(405) 858-1760
Mailing address
PO BOX 12978, OKLAHOMA CITY, OK 73157-2978
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
04/23/2021
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