Most Relevant Information
Provider Data
| NPI Number: | 1003436387 |
| Provider Name: | DAYNA APPLEGATE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/16/2020 |
| Last Updated: | 04/16/2020 |
Provider Practice Location
109 S HARRILL AVE
WAGONER
OK
744675317
Practice Location Phone/Fax
| Phone: | 9184850242 |
| Fax: |
Provider Mailing Location
109 S HARRILL AVE
WAGONER
OK
744675317
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |