Individual
GLENDORA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 NE 13, OKC, OK 73104
(405) 203-5043
Mailing address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
3124
OK
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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