Individual
MELVIN CARR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2108 NW 159TH ST, EDMOND, OK 73013-1659
(405) 637-9051
Mailing address
2108 NW 159TH ST, EDMOND, OK 73013-1659
(405) 637-9051
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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