Individual
ERNEST LARRY SEGO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1420 N HARRISON AVE, SHAWNEE, OK 74801-5208
(405) 214-4777
Mailing address
1420 N HARRISON AVE, SHAWNEE, OK 74801-5208
(405) 214-4777
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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