Individual
MAURICE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12525 E 27TH PL, TULSA, OK 74129-8233
(918) 619-6394
Mailing address
12525 E 27TH PL, TULSA, OK 74129-8233
(918) 619-6394
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/10/2013
Last updated
11/10/2013
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