Individual
MARK TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2518 W BROADWAY AVE, ENID, OK 73703-5156
(580) 234-8865
(580) 234-8361
Mailing address
2518 W BROADWAY AVE, ENID, OK 73703-5156
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
01/14/2016
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