Individual
DUNCAN ORNELAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 ROSS AVE., SAPULPA, OK 74066
(918) 216-4622
Mailing address
23 EAST ROSS AVE., SAPULPA, OK 74066-6423
(918) 216-4622
(918) 227-5875
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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