Organization
LEROY GILLESPIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEROY I GILLESPIE (COUNSELOR)
(405) 413-6764
Entity
Organization
Contact information
Practice address
1820 NW 11TH ST, OKLAHOMA CITY, OK 73106-2261
(405) 413-6764
Mailing address
1820 NW 11TH ST, OKLAHOMA CITY, OK 73106-2261
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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