Individual
MR. AARON DAEL MALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSE
Contact information
Practice address
541 S WASHINGTON ST, WELCH, OK 74369-9549
(918) 325-1851
Mailing address
541 S WASHINGTON ST, WELCH, OK 74369-9549
(918) 325-1851
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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