Individual
GREG FENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 N MICKEY MANTLE BLVD, COMMERCE, OK 74339-1110
(918) 675-4100
Mailing address
304 N MICKEY MANTLE BLVD, COMMERCE, OK 74339-1110
(918) 675-4100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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