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Individual

DR. DONALD WAYNE BONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
EDD

Contact information

Practice address
101 N 14TH STREET, DUNCAN, OK 73533-1120
(580) 255-2458
Mailing address
3701 COUNTRY CLUB ROAD, DUNCAN, OK 73533
(580) 252-2782
(580) 252-2782

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSYCHOLOGY332
OK

Other

Enumeration date
08/01/2006
Last updated
07/08/2007
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