Individual
MR. ERVAN CLAY RUSHING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3309 SIMMONS DR, OKLAHOMA CITY, OK 73115-1865
(405) 905-2890
Mailing address
3309 SIMMONS DR, OKLAHOMA CITY, OK 73115-1865
(405) 905-2890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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