Individual
MR. STANLEY EARL PETERS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
15 CROWN PT, PAULS VALLEY, OK 73075-5306
(580) 465-8187
Mailing address
15 CROWN PT, PAULS VALLEY, OK 73075-5306
(580) 465-8187
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/23/2009
Last updated
12/23/2009
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