Individual
MARK EDWARD SHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8412 SW 38TH CIR, OKLAHOMA CITY, OK 73179-3819
(405) 420-0425
Mailing address
8412 SW 38TH CIRCLE, OKLAHOMA CITY, OK 73179
(405) 420-0425
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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