Individual
MR. ODELL V GUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
903 W MAIN ST, ANTLERS, OK 74523-2045
(580) 298-3001
(580) 298-5357
Mailing address
4827 NW HOOVER AVE, LAWTON, OK 73505-1630
(580) 298-3001
(580) 298-5357
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
—
—
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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