Individual
MARLIN R GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
403 CLARENCE NASH, WATONGA, OK 73772
(580) 623-5433
(580) 623-2409
Mailing address
403 CLARENCE NASH, WATONGA, OK 73772
(580) 623-5433
(580) 623-2409
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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