Individual
MRS. LAURA JILL DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16414 E 50TH ST, TULSA, OK 74134-7183
(918) 355-6996
Mailing address
16414 E 50TH ST, TULSA, OK 74134-7183
(918) 355-6996
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3355
OK
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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