Individual
JAY REDELSPERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 W OXFORD AVE, ENID, OK 73701-1208
(580) 233-7220
Mailing address
605 W OXFORD AVE, ENID, OK 73701-1208
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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