Individual
MR. DANNY CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12107 HERITAGE PARK RD, APT 236, OKLAHOMA CITY, OK 73120-9514
(662) 292-3711
Mailing address
12107 HERITAGE PARK RD, APT 236, OKLAHOMA CITY, OK 73120-9514
(662) 292-3711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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