Individual
FELIX J DEROUSSELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 NE 28TH ST, SUTE 204, OKLAHOMA CITY, OK 73105-2806
(405) 601-4565
(405) 601-4579
Mailing address
4833 N BLACKWELDER AVE, APT 120, OKLAHOMA CITY, OK 73118-2008
(405) 850-6460
(405) 601-4579
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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