Individual
DESHAWN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
318 W FRANKLIN AVE, WEATHERFORD, OK 73096-4837
(580) 791-1054
Mailing address
318 W FRANKLIN AVE, WEATHERFORD, OK 73096-4837
(580) 791-1054
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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