Individual
MR. TERRANCE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3421 NW 46TH ST, OKLAHOMA CITY, OK 73112-6101
(405) 209-2859
(405) 601-2347
Mailing address
3421 NW 46TH ST, OKLAHOMA CITY, OK 73112-6101
(405) 209-2859
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251
OK
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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