Individual
MR. GARLAND PARKS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1204 LYNN FRY BLVD, MIDWEST CITY, OK 73130-6005
(405) 974-8057
Mailing address
1204 LYNN FRY BLVD, MIDWEST CITY, OK 73130-6005
(405) 974-8057
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
004375293
OK
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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