Individual
BANNON ROWLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 H, ELGIN, OK 73538-0555
(580) 351-1188
Mailing address
PO BOX 555, ELGIN, OK 73538-0555
(580) 351-1188
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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