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1750853693
TAYLOR DIANE IAGO
YUKON, OK
NPI
1750853693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OK 2963)
Enumeration Date
2018-12-17
Last Update Date
2020-10-16
Business Address
TAYLOR DIANE IAGO PA-C
1205 HEALTH CENTER PKWY STE 240
YUKON, OK 73099-6396
Phone number: 405-717-5496
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Mailing Address
TAYLOR DIANE IAGO PA-C
5300 N INDEPENDENCE AVE STE 280
OKLAHOMA CITY, OK 73112-5555
Phone number: 405-717-5496
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