Individual
WINSTON SILVESTER JOHNSON PRESCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3412 HILLSIDE DR, DEL CITY, OK 73115-1742
(229) 292-3932
Mailing address
3412 HILLSIDE DR, DEL CITY, OK 73115-1742
(229) 292-3932
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669820049
—
OK
Enumeration date
05/26/2016
Last updated
06/15/2016
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