Individual
MR. DIALLO KANDIA PRATHER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2324 RED ELM CT, EDMOND, OK 73013-5672
(405) 905-0077
Mailing address
2324 RED ELM CT, EDMOND, OK 73013-5672
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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