Individual
MR. LARAMIE LEON PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2109 SOUTH HIGHWAY 69, WAGONER, OK 74464
(918) 284-5076
(918) 756-2126
Mailing address
2109 SOUTH HIGHWAY 69, WAGONER, WAGONER, OK 74464
(918) 284-5076
(918) 756-2126
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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