Individual
MARVIN HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 NW 141ST ST, EDMOND, OK 73013-1917
(405) 748-0575
Mailing address
500 NW 141ST ST, EDMOND, OK 73013-1917
(405) 748-0575
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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