Individual
SLADE SEBASTIAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 UNITED FOUNDERS BLVD STE 239, OKLAHOMA CITY, OK 73112-4294
(405) 840-7040
Mailing address
9207 N MACARTHUR BLVD APT B, OKLAHOMA CITY, OK 73132-2491
(405) 857-4199
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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