Individual
MR. DONALD DEAN RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CM
Contact information
Practice address
2405 NW 112TH TER, OKLAHOMA CITY, OK 73120-7202
(405) 474-9670
Mailing address
2405 NW 112TH TER, OKLAHOMA CITY, OK 73120-7202
(405) 474-9670
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8717
OK
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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