Individual
SA-TAE SETH MC INTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10342 GREENBRIAR PARKWAY, OKLAHOMA CITY, OK 73159
(405) 759-2516
Mailing address
13638 S. OAK, GLENPOOL, OK 74033
(405) 759-2516
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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