Eufaula Lake Family Developmental Center

NPI 1336228444 - Psychologist - 103T00000X

NPI Details
NPI 1336228444
Enumeration Date 11/02/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RANDY DUANE RANDY
Position PRESIDENT/CEO
Phone (918) 452-3335
Fax
Practice Location
RR 1 BOX 131-C
EUFAULA OK, 74432-9223, US
Phone (918) 452-3335
Fax
Business Location
RR 1 BOX 131-C
EUFAULA OK, 74432-9223, US
Phone (918) 452-3335
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Oklahoma
License Number 825
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According to our database, Eufaula Lake Family Developmental Center NPI is 1336228444, taxonomy code is 103T00000X and license number is 825, license state is located at Oklahoma. Eufaula Lake Family Developmental Center physically located at Rr 1 Box 131-c, Eufaula OK, 74432-9223. NPI Number 1033115704 has the healthcare provider type.

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1336228444 NPI number is provided on an as is basis without warranty of any kind. 1336228444 is maintained by the National Plan & Provider Enumeration System. The contents of Eufaula Lake Family Developmental Center are for informational purposes only.