Individual
DONALD L RUNNELS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 E 2ND ST, WATONGA, OK 73772-3801
(402) 541-8974
Mailing address
115 E 2ND ST, WATONGA, OK 73772-3801
(402) 541-8974
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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