Individual
PAUL LEE PLUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
105 MOZELL ST, POTEAU, OK 74953-2412
(918) 839-7576
Mailing address
105 MOZELL ST, POTEAU, OK 74953-2412
(918) 839-7576
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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