Organization
AVALON CORRECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DUPLISSIS (CASE MANAGER)
(405) 850-4923
Entity
Organization
Contact information
Practice address
400 S. MAY, OKLAHOMA CITY, OK 73108
(405) 232-8233
Mailing address
700 NE 18, OKLAHOMA CITY, OK 73105
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S082712199
DRIVER LICENSE
OK
Enumeration date
12/28/2012
Last updated
12/28/2012
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