Alfonzo Mcmillian SR.

NPI 1457654592 - Counselor - 101Y00000X

NPI Details
NPI 1457654592
Gender Male
Enumeration Date 12/13/2010
Last Updated 12/13/2010
Entity Type Individual
Active Over 5 years ago
Practice Location
11737 BLUE MOON AVE
OKLAHOMA CITY OK, 73162-2004, US
Phone (405) 535-4786
Fax
Business Location
11737 BLUE MOON AVE
OKLAHOMA CITY OK, 73162-2004, US
Phone (405) 535-4786
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Mr. Alfonzo Mcmillian SR. NPI is 1457654592, taxonomy code is 101Y00000X Alfonzo Mcmillian SR. physically located at 11737 Blue Moon Ave, Oklahoma City OK, 73162-2004. NPI Number Alfonzo Mcmillian SR. has the Individual type.

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1457654592 NPI number is provided on an as is basis without warranty of any kind. 1457654592 is maintained by the National Plan & Provider Enumeration System. The contents of Alfonzo Mcmillian SR. are for informational purposes only.