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MS. MICHELLE DIANE DENNIS MT

>> Reflexologist >> Other Service Providers

Registrant NPI Number: 1831470566

Individual Registrant:
MS. MICHELLE DIANE DENNIS MT
Gender: F
Sole Proprietor

Location and contact information for practice:
24 N COO Y YAH ST  PRYOR, OK 74361-3820 US
Tel: 918-824-1601  Fax: --

Contact information for business:
24 N COO Y YAH ST  PRYOR, OK 74361-3820 US
Tel: 918-824-1601  Fax: --

Registration Information:
NPI: 1831470566
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y173C00000XOther Service Providers
Reflexologist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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