Individual
MARVIN D OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15497 COUNTY ROAD 1700, ROFF, OK 74865-9022
(580) 310-4771
(580) 371-2056
Mailing address
15497 COUNTY ROAD 1700, ROFF, OK 74865-9022
(580) 310-4771
(580) 371-2056
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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