Individual
FELTON CHILE MADUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1705 CRADDUCK RD, ADA, OK 74820-9491
(580) 310-9000
Mailing address
1705 CRADDUCK RD, ADA, OK 74820-9491
(580) 272-4960
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
OK
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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