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Individual

JOHN MICHAEL STANDEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
309 SW 59TH ST STE 305, OKLAHOMA CITY, OK 73109-8324
(405) 355-3239
Mailing address
140 LOCHWOOD LN, YUKON, OK 73099-6664
(405) 863-8074

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
05/14/2021
Last updated
05/14/2021
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