Individual
MS. REGINA ELAINE DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34183 COUNTRY CLUB LN, POTEAU, OK 74953-9122
(918) 649-7641
(918) 647-2926
Mailing address
35248 US HIGHWAY 59 S, POTEAU, OK 74953-9115
(918) 635-5482
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/20/2013
Last updated
06/02/2013
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