Individual
COREY HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15500 JEFFERSONS GARDEN CT, EDMOND, OK 73013-1410
(405) 330-8200
(405) 330-8209
Mailing address
15500 JEFFERSONS GARDEN CT, EDMOND, OK 73013-1410
(405) 330-8200
(405) 330-8209
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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