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Individual

MR. DONNY RAY BEECHUM SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSM, BHRS

Contact information

Practice address
5929 N MAY AVE, OKLAHOMA CITY, OK 73112-3909
(405) 570-0639
Mailing address
5816 S VENTURA DR, OKLAHOMA CITY, OK 73135-5473
(405) 733-7810

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
05/11/2012
Last updated
05/11/2012
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