Individual
CHARLES PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1973 W 33RD ST STE 110, EDMOND, OK 73013-3875
(918) 706-3947
Mailing address
1973 W 33RD ST STE 110, EDMOND, OK 73013-3875
(918) 706-3947
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OK
374K00000X
Religious Nonmedical Practitioner
ULC600728
OK
Other
Enumeration date
04/14/2025
Last updated
12/18/2025
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