Individual
MR. EDMOND WILLIAMS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6216 S LEWIS AVE STE 103, TULSA, OK 74136-1017
(918) 208-0575
Mailing address
5130 N 25TH WEST AVE, TULSA, OK 74126-6643
(918) 402-5435
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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