Individual
CARNELL ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2128 PARKVIEW DR, MOORE, OK 73170-7438
(405) 642-7399
Mailing address
2128 PARKVIEW DR, MOORE, OK 73170-7438
(405) 648-7399
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
MC-2010
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
OK
Enumeration date
01/10/2014
Last updated
01/10/2014
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