Dylan Delaine Mishmash

NPI #1801624390 in Pryor, Oklahoma

Provider Information

NPI Number
1801624390
Entity Type
Individual
Name
Dylan Delaine Mishmash
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jul 25, 2024
Last Updated
Jul 25, 2024

Practice Location

Address
109 N FAIRLAND ST
City
Pryor
ZIP Code
74361-4205
Phone
(844) 458-2100

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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