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Individual

MS. CARMEN DELORES BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4337 SE 15TH ST, DEL CITY, OK 73115-3001
(405) 609-1760
Mailing address
1708 N.E. 48TH, OKLAHOMA CITY, OK 73111
(405) 410-5872

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/16/2014
Last updated
05/16/2014
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