Individual
DAVID ALLEN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
900 E MAIN ST, NORMAN, OK 73071-5305
(405) 573-6467
Mailing address
1222 E ETOWAH RD, NOBLE, OK 73068-8464
(405) 872-9631
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
R0056779
OK
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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