Individual
GODWIN ONOS IZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4801 N CLASSEN BLVD, SUITE 159, OKLAHOMA CITY, OK 73118-4627
(405) 607-6670
(405) 607-6671
Mailing address
4801 N CLASSEN BLVD, SUITE 159, OKLAHOMA CITY, OK 73118-4627
(405) 607-6670
(405) 607-6671
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
04/02/2012
Last updated
06/24/2013
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