Individual
WILLIAM OMAR BOONE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7250 NW EXPRESSWAY, STE 200, OKLAHOMA CITY, OK 73132-1522
(405) 525-0452
Mailing address
PO BOX 30672, MIDWEST CITY, OK 73140-3672
(405) 821-7363
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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