Individual
PETER MORIASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2424 ASHEBURY WAY, EDMOND, OK 73034-5855
(405) 209-3414
Mailing address
2424 ASHEBURY WAY, EDMOND, OK 73034-5855
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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