Individual
DONNELL HAYES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 N MERIDIAN AVE, SUITE 408, OKLAHOMA CITY, OK 73107-5700
(405) 410-2304
Mailing address
PO BOX 322, WATONGA, OK 73772-0322
(405) 410-2304
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/07/2010
Last updated
05/15/2013
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