Individual
ELMAR PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 MAXWELL ST NW, ARDMORE, OK 73401-1342
(580) 226-5209
Mailing address
905 MAXWELL ST NW, ARDMORE, OK 73401-1342
(580) 226-5209
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/12/2009
Last updated
10/12/2009
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