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Individual

MR. RONALD ERIC LATIMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.A.D.C.

Contact information

Practice address
5401 SW 29TH ST, OKLAHOMA CITY, OK 73179-7602
(405) 681-2003
(405) 681-2013
Mailing address
5401 S.W. 29TH ST., OKC, OK 73179
(405) 681-2003
(405) 681-2013

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC292
OK

Other

Enumeration date
05/25/2011
Last updated
05/25/2011
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