Individual
MR. NATHAN WADE DARST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 E BUFFALO ST, FAIRMONT, OK 73736-1177
(580) 554-7833
Mailing address
525 E BUFFALO ST, FAIRMONT, OK 73736-1177
(580) 554-7833
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
2706042
OK
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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