MS. Margene Dunivant

NPI #1407213010 in Jenks, Oklahoma

Provider Information

NPI Number: 1407213010
Entity Type: Individual
Name: MS. Margene Dunivant
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Jan 27, 2016
Last Updated: Jan 27, 2016

Practice Location

Address: 4010 W 104TH ST S
City: Jenks
State: Oklahoma
ZIP Code: 74037-1914
Phone: (918) 282-2502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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