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Deadra Wyman
NPI 1346649621 · on the registry since 2014
Practice
- Address
- 3712 W 106th St S
Jenks, OK 74037 - Phone
- (918) 693-2538
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-05-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma