Individual
MR. HAROLD AMOS POWELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1211 N SHARTEL AVE, OKLAHOMA CITY, OK 73103-2400
(405) 605-0398
Mailing address
PO BOX 12553, OKLAHOMA CITY, OK 73157-2553
(405) 520-0490
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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