JOHNATHAN DIAMOND

DURANT, OK
NPI1447096342
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: OK  1057R)
Enumeration Date2024-07-01
Last Update Date2026-06-25
Business Address
JOHNATHAN DIAMOND
1400 BRYAN DR STE 201
DURANT, OK 74701-2157
Phone number: 580-924-5500
Mailing Address
JOHNATHAN DIAMOND
1400 BRYAN DR STE 201
DURANT, OK 74701-2157
Phone number: 580-924-5500
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