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Individual

HOLLY BANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
448 36TH AVE NW STE 101, NORMAN, OK 73072-4743
(405) 573-9905
Mailing address
4301 SE 56TH CIR, OKLAHOMA CITY, OK 73135-2503
(405) 210-6987

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/14/2007
Last updated
03/29/2016
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