Individual
MICHEAL BILLINGSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1713 NE 58TH ST, OKLAHOMA CITY, OK 73111-6838
(405) 602-9865
Mailing address
1713 NE 58TH ST, OKLAHOMA CITY, OK 73111-6838
(405) 602-9865
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
W082684682
OK
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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