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Individual

CHARLES FRED PERRY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
301 NW 63RD ST STE 600, OKLAHOMA CITY, OK 73116-7909
(405) 848-2171
Mailing address
301 NW 63RD ST STE 600, OKLAHOMA CITY, OK 73116-7909
(405) 848-2171

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/01/2010
Last updated
05/01/2010
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