Individual
DOMINIQUE RAY MCMILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2420 NW 38TH ST, OKLAHOMA CITY, OK 73112-7528
(918) 204-1179
Mailing address
2420 NW 38TH ST, OKLAHOMA CITY, OK 73112-7528
(918) 204-1179
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
07/06/2026
Last updated
07/06/2026
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