DIANE REAGLE

BROKEN ARROW, OK
NPI1578900791
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WA2000X Registered Nurse, Administrator
(Licence: OK  ROO49723)
Additional Taxonomies163WP0808X Registered Nurse, Psych/Mental Health
(Licence: OK  R0049723)
Enumeration Date2013-05-29
Last Update Date2013-05-29
Business Address
-- DIANE REAGLE RN
604 E GLENDALE ST
BROKEN ARROW, OK 74011-3597
Phone number: 918-850-2233
Mailing Address
-- DIANE REAGLE RN
604 E GLENDALE ST
BROKEN ARROW, OK 74011-3597
Phone number: 918-850-2233