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Individual

MR. RICHARD LEE MUMFORD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPH

Contact information

Practice address
3621 N KELLEY AVE, SUITE 100, OKLAHOMA CITY, OK 73111-4520
(405) 524-5525
(405) 524-5528
Mailing address
3621 N KELLEY AVE, SUITE 100, OKLAHOMA CITY, OK 73111-4520
(405) 524-5525
(405) 524-5528

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1578690137
OK

Other

Enumeration date
04/14/2010
Last updated
04/14/2010
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