Individual
WILLARD FRAZIER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4406 N SHADYBROOK DR, MIDWEST CITY, OK 73110-3437
(405) 532-2669
Mailing address
4406 N SHADYBROOK DR, MIDWEST CITY, OK 73110-3437
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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