Donetta Taylor

NPI #1184200651 in Muskogee, Oklahoma

Provider Information

NPI Number: 1184200651
Entity Type: Individual
Name: Donetta Taylor
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Mar 23, 2021
Last Updated: Mar 23, 2021

Practice Location

Address: 619 N MAIN ST
City: Muskogee
State: Oklahoma
ZIP Code: 74401-4431
Phone: (918) 682-8407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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