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Individual

DAVID J. LEMONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3915 N PENN AVE, OKLAHOMA CITY, OK 73112-7586
(405) 524-2424
Mailing address
3915 N PENN AVE, OKLAHOMA CITY, OK 73112-7586

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200079250A
OK
Enumeration date
10/26/2012
Last updated
10/26/2012
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