Individual
JUSTIN WINFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11212 N MAY AVE STE 208, OKLAHOMA CITY, OK 73120-6335
(405) 205-8950
Mailing address
4525 PRUE SAND, YUKON, OK 73099-3144
(405) 354-3759
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
174H00000X
OK
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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