Anna Marie Perdue, Llc | |
910785 S Gerdes Drive Wellston OK 74881-8146 | |
(405) 823-4415 | |
Not Available |
Full Name | Anna Marie Perdue, Llc |
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Speciality | Counselor - Professional |
Location | 910785 S Gerdes Drive, Wellston, Oklahoma |
Authorized Official Name and Position | Anna Marie Perdue (OWNER) |
Authorized Official Contact | 4058234415 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Anna Marie Perdue, Llc 910785 S Gerdes Drive Wellston OK 74881-8146 Ph: () - | Anna Marie Perdue, Llc 910785 S Gerdes Drive Wellston OK 74881-8146 Ph: (405) 823-4415 |
NPI Number | 1790105922 |
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Provider Enumeration Date | 04/28/2014 |
Last Update Date | 04/28/2014 |
Identifier | Type | State | Issuer |
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1790105922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 5305 (Oklahoma) | Primary |
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