Individual
LOUIS ALEXANDER MARULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15704 TRADITIONS DR, EDMOND, OK 73013-1149
(405) 657-7433
Mailing address
15704 TRADITIONS DR, EDMOND, OK 73013-1149
(405) 657-7433
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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