Organization
YUKON PUBLIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENT MATHERS (SUPERINTENDENT)
(405) 350-1341
Entity
Organization
Contact information
Practice address
600 MAPLE ST, YUKON, OK 73099-2533
(405) 350-1341
Mailing address
600 MAPLE ST, YUKON, OK 73099-2533
(405) 350-1341
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
251K00000X
OK
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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