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Individual

DANIEL NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
134 N 12TH AVE, DURANT, OK 74701-4718
(580) 924-6363
Mailing address
134 N. 12TH ST., DURANT, OK 74701
(580) 924-6363

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
04/11/2011
Last updated
04/11/2011
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