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Individual

MICHAEL DOUGLAS DENSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2727 S 137TH WEST AVE, SAND SPRINGS, OK 74063-5017
(918) 245-0231
Mailing address
405 W JAY ST, STROUD, OK 74079-4650
(918) 606-6634

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/09/2012
Last updated
11/09/2012
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