Individual
MR. RUS L ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
502 W CHERRY AVE, ENID, OK 73701-1632
(580) 541-9123
Mailing address
PO BOX 1495, ENID, OK 73702-1495
(580) 541-9123
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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