Individual
FREDDIE DANIEL DUBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5929 N MAY AVE, OKLAHOMA CITY, OK 73112-3909
(405) 642-4871
Mailing address
5609 JULIE CT, OKLAHOMA CITY, OK 73127-3803
(405) 706-6508
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
OK
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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