Individual
HERBERT CALVIN PRINCE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSHR
Contact information
Practice address
23929 COUNTY ROAD 1560, STONEWALL, OK 74871-6472
(405) 310-9000
Mailing address
1705 CRADDUCK RD, ADA, OK 74820-9491
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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