Johnny Marvell Leake SR. M.ED

NPI 1003128745 - Rehabilitation Counselor - 225C00000X

NPI Details
NPI 1003128745
Gender Male
Enumeration Date 07/10/2010
Last Updated 07/10/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
613 BATH CIR
OKLAHOMA CITY OK, 73117-3024, US
Phone (405) 208-4045
Fax
Business Location
613 BATH CIR
OKLAHOMA CITY OK, 73117-3024, US
Phone (405) 208-4045
Fax
Toxanomy
Taxonomy Code 225C00000X
License State
License Number
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According to our database, Mr. Johnny Marvell Leake SR. M.ED NPI is 1003128745, taxonomy code is 225C00000X Johnny Marvell Leake SR. M.ED physically located at 613 Bath Cir, Oklahoma City OK, 73117-3024. NPI Number Johnny Marvell Leake SR. M.ED has the Individual type.

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1003128745 NPI number is provided on an as is basis without warranty of any kind. 1003128745 is maintained by the National Plan & Provider Enumeration System. The contents of Johnny Marvell Leake SR. M.ED are for informational purposes only.