Individual
MR. RYAN LANCE WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
605 E 12TH ST, ADA, OK 74820-6605
(580) 436-3504
(580) 436-5047
Mailing address
PO BOX 2274, ADA, OK 74821-2274
(580) 436-3504
(580) 436-5047
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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