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Individual

KARLOS LESURE SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MASTERS OF THEOLOGY,

Contact information

Practice address
1301 MARTIN LUTHER KING BLVD, STE#101, OKLAHOMA CITY, OK 73117-4235
(405) 424-0007
(405) 424-6507
Mailing address
4524 NE 38TH ST, OKLAHOMA CITY, OK 73121-6411
(405) 609-1609

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/16/2012
Last updated
08/16/2012
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