Individual
DELMON K BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 NW 13TH ST STE D, OKLAHOMA CITY, OK 73103-2239
(405) 468-2460
(405) 424-1508
Mailing address
625 NW 13TH ST STE D, OKLAHOMA CITY, OK 73103-2239
(405) 468-2460
(405) 424-1508
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200077440
—
OK
Enumeration date
12/11/2012
Last updated
12/11/2012
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