Individual
MARSEILLES MCMULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 E 5TH ST, OKMULGEE, OK 74447-4000
(918) 756-2252
Mailing address
201 E 5TH ST, OKMULGEE, OK 74447-4000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OK
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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